NPI 1811971419 · live from the CMS NPI Registry
Lellan Dawes Edwards, D.M.D., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Orangeburg, SC. National Provider Identifier 1811971419, active.
NPI record
| NPI | 1811971419 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1346 Wingate St, Orangeburg, SC 29118 |
| Practice phone | 803-531-1799 |
| Enumerated | December 6, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 2403 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.