DR. STEPHEN KYLE EDWARDS (NPI# 1386734416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386734416 |
Entity Type | Individual |
Full Name | DR. STEPHEN KYLE EDWARDS |
Credential | DMD |
Practice Address |
1829 Jefferson St Shelton WA 98584-2004 |
Practice Telephone | 3604268401 |
Mailing Telephone | 3604268401 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2012-06-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DE000010695 | WA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487119467 | Stephen Nicholas Edwards | Specialist/Technologist | 11159 Oakridge Dr, Fishers, IN 46038-1759 | 2019-02-05 |
1861651614 | Stephen Jawahar Edwards | Pediatrics | 3143 E Webber Dr, Pearland, TX 77584-9420 | 2008-06-06 |
1700909587 | Stephen Thomas Edwards II | Marriage & Family Therapist | 306 W Sadie St, Brandon, FL 33510-4440 | 2007-04-09 |
1013015585 | Stephen Patrick Edwards | Optometrist | 302 Railroad St, Water Valley, MS 38965-3032 | 2006-09-20 |
1508971169 | Stephen Blaine Edwards | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2006-08-21 |
1467462382 | Stephen Kirk Edwards | Chiropractor | 6504 Old Springville Rd, Pinson, AL 35126-3183 | 2006-08-09 |
1376574590 | Stephen W Edwards | Chiropractor | 2962 Smith River Dr, Redding, CA 96002-5219 | 2006-07-05 |
1235586603 | Stephen Edwards | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2016-05-16 |
1386023794 | Stephen Edwards | Social Worker | 1801 Fox Dr, Champaign, IL 61820-7236 | 2015-05-19 |
1225460207 | Stephen Edwards | Specialist/Technologist | 567 N 5th St, Terre Haute, IN 47809-1903 | 2013-08-01 |
Street Address |
1829 JEFFERSON ST |
City | SHELTON |
State | WA |
Zip Code | 98584-2004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427022326 | Katherine Jo Ketcher | Dentist | 1829 Jefferson St, Shelton, WA 98584-2004 | 2006-02-15 |
1134563471 | Ketcher & Edwards, Pllc | Dentist | 1829 Jefferson St, Shelton, WA 98584-2004 | 2013-04-17 |
1679807721 | Ashley Lynn Keeney | Massage Therapist | 1829 Jefferson St, Shelton, WA 98584-2004 | 2009-09-22 |
1063553014 | Ketchers' Dental Pllc | Dentist | 1829 Jefferson St, Shelton, WA 98584-2004 | 2007-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
Find all providers in zip 98584 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
1831425511 | Dustin F Rabine | Dentist | 865 River Rd, Shelton, CT 06484-5464 | 2009-10-30 |
1144484775 | Dalia H Shubber | Dentist | 1 Trap Falls Rd Ste 401, Shelton, CT 06484-4698 | 2008-07-13 |
1174799803 | Oleynik, Dmd, LLC | Dentist | 74 Wooster St, Shelton, CT 06484-6055 | 2008-05-02 |
1548478944 | Smile Dental Center, PC | Dentist | 1000 Bridgeport Ave, Shelton, CT 06484 | 2007-05-18 |
1902028129 | Colette Elizabeth Lash | Dentist | 233 Professional Way, Shelton, WA 98584-4404 | 2007-05-03 |
1205057361 | Peter M. Ferrara, D.d.s., L.l.c | Dentist | 4 Corporate Drive, Suite 383, Shelton, CT 06484 | 2007-05-02 |
1093936502 | Lawrence A Ross | Dentist | 2 Corporate Dr.suite 246, Shelton, CT 06484-6247 | 2007-05-01 |
1285752923 | Maria A Smith | Dentist | 72 Wooster St, Shelton, CT 06484-6055 | 2007-03-27 |
1275669467 | Patrick C Kwong | Dentist | 428 W Birch St, Suite 8, Shelton, WA 98584-1735 | 2007-02-24 |
Find all providers in SHELTON |
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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.