DR. Thaddeus Carl Edwardson, DMD

NPI #1326530510 in Hannibal, Missouri

Provider Information

NPI Number: 1326530510
Entity Type: Individual
Name: DR. Thaddeus Carl Edwardson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 4, 2018
Last Updated: Jun 4, 2018

Practice Location

Address: 2727 SAINT MARYS AVE
City: Hannibal
State: Missouri
ZIP Code: 63401-3774
Phone: (573) 221-1227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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