Eunjung Edwards, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9009 Issued in TN

Practice address

845 S Highland St
Memphis, TN 38111-4254

Phone

(901) 323-8488

Fax

(901) 323-8489

NPI assigned

Jun 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Berryhill Dental Center

  • Dentist
  • Cordova, TN
  • NPI 1952246894
  NPD Authorized official

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1720216880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S HIGHLAND ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114254",
            "telephone_number": "901-323-8488",
            "fax_number": "901-323-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S HIGHLAND ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114254",
            "telephone_number": "901-323-8488",
            "fax_number": "901-323-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "EUNJUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9009",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25093",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Lee Anesthesia, PC
• Edward M. Reaves, MD PC
• Edward Todd Robbins M D PC
• Asia Mahogany Edwards
• Candi Carmel Edwards, MS, BCBA
• Frances Edwards, FNP
• Helen C. Edwards
• Howard C Edwards Jr., PHARM.D.
• Kem Edwards
• Laken A Edwards, BCBA

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.