Provider Demographics
NPI:1295739233
Name:MAY, EDWARD FRANCIS (DDS)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:FRANCIS
Last Name:MAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 9TH ST E STE B
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-8004
Mailing Address - Country:US
Mailing Address - Phone:701-707-3720
Mailing Address - Fax:701-707-3727
Practice Address - Street 1:1918 9TH ST E STE B
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-8004
Practice Address - Country:US
Practice Address - Phone:701-707-3720
Practice Address - Fax:701-707-3727
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND113851223S0112X
ND18991223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN366526700OtherMEDICAL ASSISTANCE
ND41265Medicaid
MN3665266700Medicaid
MN3665266700Medicaid