Individual provider · Type 1 NPI

Justin S. Edwards, D.M.D

Pediatric Dentistry · Hampton, VA

NPI number 1699906255 Active

Practice location

2113 Hartford Rd
Hampton, VA 23666-2575

Mailing address

4550 Rock Wren Drive
Providence Forge, VA 23140

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X0442000107 (VA)
Pediatric Dentistry Primary 1223P0221X0401413260 (VA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3 other providers at this address

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About NPI 1699906255

Justin S. Edwards, D.M.D's National Provider Identifier is 1699906255, issued on Jul 30, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hampton, VA. The record was last updated on May 20, 2013.