Provider Demographics
NPI:1003783846
Name:EDENS FAMILY DENTISTRY PLLC
Entity type:Organization
Organization Name:EDENS FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:EDENS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-614-5531
Mailing Address - Street 1:1828 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:OK
Mailing Address - Zip Code:73077-2200
Mailing Address - Country:US
Mailing Address - Phone:405-614-5531
Mailing Address - Fax:
Practice Address - Street 1:315 W HIGGINS LAKE DR
Practice Address - Street 2:
Practice Address - City:ROSCOMMON
Practice Address - State:MI
Practice Address - Zip Code:48653-8733
Practice Address - Country:US
Practice Address - Phone:405-614-5531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty