Provider Demographics
NPI:1710787361
Name:DR JAMES R EDWARDS
Entity type:Organization
Organization Name:DR JAMES R EDWARDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/MAJORITY PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-325-1733
Mailing Address - Street 1:895 MORAGA RD STE 6
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-5039
Mailing Address - Country:US
Mailing Address - Phone:925-385-8858
Mailing Address - Fax:
Practice Address - Street 1:895 MORAGA RD STE 6
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-5039
Practice Address - Country:US
Practice Address - Phone:925-385-8858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental