Doctor Name: | MATTHEW BRITTON EDWARDS |
NPI Number: | 1578614905 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CDT |
License Number: | 041586E01628 |
Business Practice Address: | 1237 River Oaks Dr Norfolk, VA - 235022041 |
Business Phone Number: | 7573624611 |
Business Fax Number: | 7578536966 |
Mailing Address: | 1237 River Oaks Dr, NORFOLK |
State: | VA |
Postal Code: | 235022041 |
Phone Number: | 7573624611 |
Fax Number: | 7578536966 |
NPI Enumeration Date: | 01/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 126900000X |
License Number: | 041586E01628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dental Laboratory Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary. |