DR. CHARLY NICOLE EDWARDS DDS
NPI 1356833602
Dentist in Jackson, MS

Q: What is Charly Edwards's NPI number?

The NPI number for Charly Edwards is 1356833602. It was assigned to this individual provider in the NPPES registry on June 2, 2018.

Q: What is Charly Edwards'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 Charly Edwards was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 02, 2018

2500 N STATE ST, JACKSON, MS 39216(601) 984-6001 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Charly Nicole Edwards Dds NPPES

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

DR. CHARLY NICOLE EDWARDS DDS (NPI 1356833602) is an individual dentist in Jackson, Mississippi, licensed in Mississippi (4295-22) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1356833602

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. CHARLY NICOLE EDWARDSCredential: DDS

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-6001

Phone(601) 984-6001

Sole ProprietorNo

Enumeration DateJune 2, 2018

Last NPPES UpdateJune 13, 2022

NPPES CertifiedJune 13, 2022

✔ NPI 1356833602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MS · 4295-22✔ Licensed in TN · 10762

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 10762 (TN)

2500 N STATE ST, Jackson, MS 39216

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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 Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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