Jeremy Edwards DDS PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JEREMY EDWARDS DDS PLLC

Doing business as

Oklahoma Dental Implants and Oral Surgery

Practice address

1004 Medical Park Blvd
Edmond, OK 73013-3025

Phone

(405) 348-8184

Fax

(405) 348-5349

NPI assigned

Jun 7, 2018

Last updated

Jun 17, 2022By 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

Thao T. Vo

Title

Credentialing Department

Phone

(405) 848-7974

Specialties & licenses 2

Addresses

Other names 1

• Oklahoma Dental Implants and Oral Surgery 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.

• Jeremy Alan Edwards, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Edmond, OK
  • NPI 1003220039
  NPD

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1730672510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD STE 237",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124334",
            "telephone_number": "405-848-7974",
            "fax_number": "405-848-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 MEDICAL PARK BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133025",
            "telephone_number": "405-348-8184",
            "fax_number": "405-348-5349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 SW Daun Drive",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735058508",
            "country_code": "US",
            "telephone_number": "580-699-3131",
            "fax_number": "580-699-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3441 W Rock Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730722435",
            "country_code": "US",
            "telephone_number": "405-329-3500",
            "fax_number": "405-329-3501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 W Jones Ave",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "OK",
            "postal_code": "735331732",
            "country_code": "US",
            "telephone_number": "580-699-3131",
            "fax_number": "580-699-3151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEREMY EDWARDS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "THAO",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CREDENTIALING DEPARTMENT",
        "authorized_official_telephone_number": "405-848-7974"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "6586",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Dental Implants and Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer M Morris MD PC (Jennifer M Morris MD)
• Geneva Nichole Jennings
• John William Jennings, MBA, OTR/L
• Serena Jensen, BA, LMSW, MWS U/S
• Jeremy Cole MD PLLC
• Cameron Andrew Jernigan
• Courtney Nicole Jersey, PA
• Jessica Garba (Garba Speech Therapy)
• Jessica L. Plumley, PH.D. PLLC
• Jessica Yocum, MD, PLLC

• Oral and Maxillofacial Surgery (Dentist) in Edmond, OK
• Providers in Edmond, OK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.