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Dr. Maurice Luther Edwards, D.M.D.

Dentist, Oral and Maxillofacial Surgery in New York, NY. Individual provider (NPI-1).

NPI number1720159809
StatusActive
Last updated in NPPESDec 11, 2023

Details

NPI
1720159809
Entity type
Individual (NPI-1)
Name
Dr. Maurice Luther Edwards
Credential
D.M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 12, 2006
Last updated
Dec 11, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial Surgery046335NYYes

Practice location

30 East 60th Street
1401
New York, NY 10022

Phone 212-888-8624 · Fax 212-838-5533

Mailing address

30 East 60th Street
Suite 1401
New York, NY 10022

Phone 212-888-8624 · Fax 212-755-5572

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Oral and Maxillofacial Surgery (Dentist) providers in New York, NY

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