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Jonathan Edwards, DDS
NPI 1497040497 · on the registry since 2011
Practice
- Address
- 408 S Broadview St
Cape Girardeau, MO 63703 - Phone
- (573) 332-0808
- Fax
- (573) 339-7945
- Organisation at this address
- Cross Trails Medical Center
Cross Trails Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri