NPI 1356910947 · live from the CMS NPI Registry
Sara Ann Edmondson, DMD MDS
Dentist, Orthodontics and Dentofacial Orthopedics in Lake Oswego, OR. National Provider Identifier 1356910947, active.
NPI record
| NPI | 1356910947 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3943 Douglas Way, Lake Oswego, OR 97035 |
| Practice phone | 503-389-0976 |
| Mailing address | 5248 Denton Dr, Lake Oswego, OR 97035 |
| Enumerated | June 18, 2021 |
| Last updated | June 18, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D11233 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.