Edmondson, C.W. Uriah
Edmondson, C.W. Uriah is an sole proprietor health care provider with primary practice located at 73666 Joshua Dr , Twentynine Palms CA 92277-2572. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Edmondson, C.W. Uriah can be contacted via phone (301) 742-4079.Contact Information
Primary practice address
73666 Joshua Dr
Twentynine Palms CA 92277-2572
Phone: (301) 742-4079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13821 | Maryland |
| Dental Providers / General Practice | 1223G0001X | 4237 | West Virginia |
| Dental Providers / General Practice | 1223G0001X | 111304 | California |
Profile Details
| NPI number | 1497727754 |
|---|---|
| LBN Legal business name | Edmondson, C.W. Uriah |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Apr 30th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497727754 | NPPES |
| West Virginia | MEDICAID | 3810021389 | |
| West Virginia | MEDICAID | 039320700 |
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