Justin Edwards, D.M.D

NPI 1699906255 · on the registry since 2009 · sole proprietor

Practice

Address: 2113 Hartford Rd
Hampton, VA 23666
Phone: (757) 838-0800
Organisation at this address: Michael J. Kokorelis, Dmd, Inc.
Coliseum Pediatric Dentistry Pllc
Coliseum Pediatric Dentistry Surgery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Pediatric Dentistry
1223P0221X
Also registered as: General Practice Dentistry
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-05-20

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 Virginia