Healthcare Provider Details

I. General information

NPI: 1003336405
Provider Name (Legal Business Name): JOEL CHRISTOPHER EDGAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2017
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 LOUETTA RD STE A
SPRING TX
77379-7450
US

IV. Provider business mailing address

7000 LOUETTA RD STE A
SPRING TX
77379-7450
US

V. Phone/Fax

Practice location:
  • Phone: 281-376-1214
  • Fax:
Mailing address:
  • Phone: 281-376-1214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number32998
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number32998
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: