Andrew Edmonds, Dmd, PLLC
Clinic/Center, Dental in Georgetown, TX. Organization (NPI-2).
NPI number1659846970
StatusActive
Last updated in NPPESApr 27, 2022
Details
- NPI
- 1659846970
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrew Edmonds, Dmd, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 13, 2018
- Certification date
- Apr 27, 2022
- Last updated
- Apr 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
| 1223G0001X | Dentist, General Practice | – | – |
Other names
- 4405 Dental Studio (Doing Business As)
Practice location
4405 Williams Dr Ste 300Georgetown, TX 78628-1383
Phone 512-855-7308
Mailing address
4405 Williams Dr Ste 300Georgetown, TX 78628-1383
Authorized official
Andrew Edmonds
Owner/Doctor
5128557308
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