DR. Lellan Dawes Edwards, D.M.D., M.S.

NPI #1811971419 in Orangeburg, South Carolina

Provider Information

NPI Number: 1811971419
Entity Type: Individual
Name: DR. Lellan Dawes Edwards, D.M.D., M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: D.M.D., M.S.
Enumeration Date: Dec 6, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1346 WINGATE ST
City: Orangeburg
State: South Carolina
ZIP Code: 29118-2443
Phone: (803) 531-1799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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