Joel T. Edwards, DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21784 Issued in TX

Legal business name

JOEL T. EDWARDS, DDS PLLC

Practice address

1508 N Grandview Ave
Suite 5
Odessa, TX 79761-3000

Phone

(432) 272-1190

Fax

(800) 532-0728

NPI assigned

Jul 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joel Edwards, DDSNPI 1255521241

Title

Dentist/Owner

Phone

(432) 272-1190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Trimble Edwards, DDS

  • Pediatric Dentistry
  • Odessa, TX
  • NPI 1255521241
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1417186149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 N GRANDVIEW AVE",
            "address_2": "SUITE 5",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797613000",
            "telephone_number": "432-272-1190",
            "fax_number": "800-532-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 N GRANDVIEW AVE",
            "address_2": "SUITE 5",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797613000",
            "telephone_number": "432-272-1190",
            "fax_number": "800-532-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL T. EDWARDS, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "432-272-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Jimenez, MA. LPC
• Mabel Jimenez, MD
• Babatunde Adegbite Jinadu, MD, MPH
• Joanna Lynn Riley
• Joe L Wallace, Mdpa
• John D Bauer MD PLLC
• John Garcia MD PA
• John H. Doran,M.D., P.L.LC.
• Johnson Anesthesia Associates PA
• Alysia Johnson, NNP

• Pediatric Dentistry in Odessa, TX
• Providers in Odessa, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.