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

Jeremy Alan Edwards, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003220039

Jeremy Alan Edwards, DDS is a Student in an Organized Health Care Education/Training Program in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2014
Specialties on file
2
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.

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Practice location Address checks out

1004 Medical Park Blvd
Edmond, OK 73013-3025
Phone: (405) 348-8184
Fax: (405) 348-5349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 6586 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003220039
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 18, 2014
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022
Mailing address1004 Medical Park Blvd, Edmond, OK 73013-3025

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