Individual provider · Type 1 NPI
Bruce D. Edwards, DDS
Periodontics · Petoskey, MI
NPI number
1639410178
Active
Practice location
2115 M-119
Petoskey, MI 49770
Fax (231) 347-8530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 2901020869 (MI) |
| General Practice Dentistry | 1223G0001X | 2901020869 (MI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Petoskey
About NPI 1639410178
Bruce D. Edwards, DDS's National Provider Identifier is 1639410178, issued on Mar 8, 2013. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Petoskey, MI. The record was last updated on Dec 15, 2017.