Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charly Nicole Edwards, DDS

Individual provider Dentist · NPI 1356833602

Dr. Charly Nicole Edwards, DDS is a Dentist in Jackson, Mississippi. Licensed in Mississippi and Tennessee. Registered with an NPI since 2018.

Licensed in
MS, TN
In the registry since
2018
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-6001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4295-22 (MS)
Dentist Taxonomy 122300000X · Licence 10762 (TN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 10762 (TN)

Record details

NPI number1356833602
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 2, 2018
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022

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