NPIMap

Edwards and Gonzlez DDS PLLC

Organization Active NPI Pediatric Dentistry · Odessa, TX

NPI 1699455196 · NPPES record last updated Jul 19, 2023

Key facts

NPI
1699455196
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
Legal business name
EDWARDS AND GONZLEZ DDS PLLC
Practice address
8131 Dorado Dr
Odessa, TX 79765-8533
Phone
(432) 770-1786
Fax
(800) 532-0728
NPI assigned
Jul 19, 2023
Organization subpart
No

Authorized official

Name
Dr. Joel Trimble Edwards III, DDS NPI 1255521241
Title
Owner
Phone
(143) 277-0178

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

National Provider Directory

Locations

8131 Dorado Dr
Odessa, TX 79765
Phone (432) 272-1190

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223P0221X Yes

Addresses

Primary practice location

8131 Dorado Dr
Odessa, TX 79765-8533

Mailing address

8131 Dorado Dr
Odessa, TX 79765-8533
Phone (432) 770-1786

Other names

  • Big Smiles Ranch Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2023.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1699455196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 DORADO DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658533",
            "telephone_number": "432-770-1786",
            "fax_number": "800-532-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 DORADO DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658533",
            "telephone_number": "432-770-1786",
            "fax_number": "800-532-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS AND GONZLEZ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "TRIMBLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "143-277-0178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Smiles Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

All providers in Odessa, TX · Pediatric Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.