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NPI Code Detail

MEDICARE: CECILIA M EDWARDS DDS

MEDICARE: CECILIA M EDWARDS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDEN.00007339CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154393767
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA M EDWARDS DDS
Provider Business Mailing Address
First Line : 203 S ROLLIE AVE
Second Line :
City : FORT LUPTON
State : CO
Zip : 80621-1508
Country : US
Telephone Number : 303-286-4560
Fax Number : 303-286-4589
Provider Business Practice Location Address
First Line : 6255 QUEBEC PKWY
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-4812
Country : US
Telephone Number : 303-697-2583
Fax Number : 303-286-4970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 01/31/2022

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Directions to “ CECILIA M EDWARDS DDS” Practice Location

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