DR. MARION JACKSON EDGE (NPI# 1295837284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295837284 |
| Entity Type | Individual |
| Full Name | DR. MARION JACKSON EDGE |
| Credential | DMD |
| Practice Address |
University of Louisville School of Dentistry 501 S. Preston St. Louisville KY 40292-0001 |
| Practice Telephone | 5028525128 |
| Practice Fax Number | 5028527163 |
| Mailing Telephone | 5028525128 |
| Mailing Fax Number | 5028527163 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
3956 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | DORAL | 9181733 | 01 |
| Street Address |
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY 501 S. PRESTON ST. |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40292-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639281033 | Frederick J. Schuette | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292-0001 | 2006-08-31 |
| 1912156019 | Matthew Palazzolo | Dentist | University of Louisville School of Dentistry, 501 South Preston Street, Room 229b, Louisville, KY 40292-0001 | 2008-09-12 |
| 1013088707 | Daniel A. Fadel | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292-0001 | 2006-11-13 |
| 1841387628 | Stephen T Topor | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-05 |
| 1760578587 | John W Olson | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-05 |
| 1831285394 | David O Willis | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-04 |
| 1821183468 | David Tasman | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-03 |
| 1679668222 | Ann M Windchy | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-03 |
| 1235224866 | Karen R Tiwana | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-03 |
| 1184719742 | Robert B Zena | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698703 | Christopher Robert Millett | Music Therapist | Attn: Chris Millett - Music Therapy Clinic, School of M, 2301 South 3rd St, Louisville, KY 40292 | 2020-01-14 |
| 1376048561 | Dallas Samuel Hagman | Student in an Organized Health Care Education/Training Program | Orthopaedic Surgery Academic Office, Attn: Monica Welsh, 550 S. Jackson Street, Acb, 1st Floor, Louisville, KY 40292 | 2018-03-28 |
| 1477087898 | Bryan T Kendricks | Dentist | School of Dentistry University of Louisville, Rm 148, Louiville, KY 40292 | 2017-04-12 |
| 1619391778 | Rebecca Park | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40292 | 2014-02-10 |
| 1700148483 | Kenneth Saad Chakour | Orthopaedic Surgery | 550 South Jackson Street, 1st Floor, Ambulatory Care Building, Louisville, KY 40292 | 2012-06-08 |
| 1871607150 | Barbara Ann Stetson | Psychologist | Dept of Psychological & Brain Sciences, 317 Life Sci Ences Bldg, Univ of Louisville, Louisville, KY 40292 | 2006-08-17 |
| 1508848854 | Maya Leggett | Emergency Medicine | Department of Surgery; School of Medicine, University of Louisville, Louisville, KY 40292 | 2005-11-14 |
| 1396277067 | Tamour Khan Tareen | Student in an Organized Health Care Education/Training Program | 500 South Preston Street, Hsc-a Rm. 113, Louisville, KY 40292 | 2017-03-31 |
| 1780079905 | Jae Kim | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40292 | 2015-04-03 |
| 1992044424 | Eiad Nehad Elathamna | Dentist | 501 South Preston Street, Room # 312, Louisville, KY 40292 | 2013-02-04 |
| Find all providers in zip 40292 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687803 | Jyme Rae Charette | Dentist | 7807 Shelbyville Rd Ste 202, Louisville, KY 40222-9000 | 2013-05-23 |
| 1760513675 | Sarah Foard Johnson | Dentist | 2934 Breckenridge Ln Ste 1, Louisville, KY 40220-3903 | 2007-03-09 |
| 1225536683 | Advanced Dental Solutions LLC | Dentist | 134 Evergreen Rd Ste 201, Louisville, KY 40243 | 2018-01-31 |
| 1902352784 | Wasan Amornsang | Dentist | 401 E Chestnut St, Suite 550, Louisville, KY 40202-5700 | 2016-08-31 |
| 1710388111 | Jack Goldberg Shteremberg | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2014-09-04 |
| 1952447633 | Allan D Linehan | Dentist | 1160 Bardstown Rd, Louisville, KY 40204-1359 | 2007-01-29 |
| 1679668222 | Ann M Windchy | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-03 |
| 1093808735 | Mark C Nation | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292 | 2006-10-02 |
| 1669584017 | Thomas Kendall Binkley | Dentist | University of Louisville School of Dentistry, 501 S. Preston St., Louisville, KY 40292-0001 | 2006-08-31 |
| 1982672150 | Zafrulla Khan | Dentist | 529 S Jackson St, Brown Cancer Center Ste 127, Louisville, KY 40202-3229 | 2006-03-14 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40292 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.