Wiley L Edwards Jr DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILEY L EDWARDS JR DDS PLLC

Doing business as

Edwards Dentures and Implants

Practice address

3700 W Vernon Ave
Kinston, NC 28504-3202

Phone

(252) 843-1700

NPI assigned

Sep 6, 2022

Last updated

Feb 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wiley L Edwards Jr., DDSNPI 1043701972

Title

Sole Member

Phone

(252) 843-1700

Specialties & licenses 2

Addresses

Other names 1

• Edwards Dentures and Implants Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wiley Edwards Jr.

  • General Practice Dentistry
  • Goldsboro, NC
  • NPI 1043701972
  NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1679294946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285043202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285043202",
            "telephone_number": "252-843-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY L EDWARDS JR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WILEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "252-843-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwards Dentures and Implants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edwards Dentures and Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse Glenn Whitley, PHARM D.
• Alyson Wickemeyer, RD
• Brooke T Wiggins, FNP-BC
• Rakitra Monique Wiggins, FNP
• Edith Losey Wigman, PHYSICIAN ASSISTANT
• Charles Murray Wilkins, RPH
• William S. Harvey III, DDS PLLC (Harvey and Associates Family Dentistry)
• Andrea Janette Williams
• Candace Williams
• Denise Williams, PT

• General Practice Dentistry in Kinston, NC
• Providers in Kinston, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.