DR. R BLAKE EDMONDS D.M.D.
NPI 1285857342
Dentist in Philadelphia, PA

Q: What is R Edmonds's NPI number?

The NPI number for R Edmonds is 1285857342. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is R Edmonds's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for R Edmonds was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2007

1501 E WADSWORTH AVE, PHILADELPHIA, PA 19150(215) 247-1040(215) 247-1647 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. R Blake Edmonds D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. R BLAKE EDMONDS D.M.D. (NPI 1285857342) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS19126L) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1285857342

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. R BLAKE EDMONDSCredential: D.M.D.

Location Address1501 E WADSWORTH AVEPhiladelphia, PA 19150-1615

Mailing Address1501 E Wadsworth AvePhiladelphia, PA 19150-1615 · (215) 247-1040 · Fax (215) 247-1647

Phone(215) 247-1040

Fax(215) 247-1647

Sole ProprietorYes

Enumeration DateApril 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1285857342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS19126L

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1501 E WADSWORTH AVE, Philadelphia, PA 19150

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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