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BRUCE D EDWARDS DDS
NPI 1639410178
Dentist - Periodontics in Petoskey, MI

Active since March 08, 2013
2115 M-119, PETOSKEY, MI 49770(231) 347-2518(231) 347-8530 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bruce D Edwards Dds NPPES

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

BRUCE D EDWARDS DDS (NPI 1639410178) is an individual periodontics provider in Petoskey, Michigan, licensed in Michigan (2901020869) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1639410178
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameBRUCE D EDWARDSCredential: DDS
Location Address2115 M-119Petoskey, MI 49770
Mailing Address2115 M-119Petoskey, MI 49770 · (231) 347-2518 · Fax (231) 347-8530
Phone(231) 347-2518
Fax(231) 347-8530
Sole ProprietorNo
Enumeration DateMarch 8, 2013
Last NPPES UpdateDecember 15, 2017
✔ NPI 1639410178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MI · 2901020869
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2901020869 (MI)
2115 M-119, Petoskey, MI 49770
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Edwards's NPI number?

The NPI number for Bruce Edwards is 1639410178. It was assigned to this individual provider in the NPPES registry on March 8, 2013.

Where is Bruce Edwards located?

Bruce Edwards practices at 2115 M-119, Petoskey, MI 49770. The listed phone number is (231) 347-2518.

What is Bruce Edwards's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Bruce Edwards was last updated on December 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.