Provider Demographics
NPI:1023350964
Name:EDELMAN, HOWARD LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:LEE
Last Name:EDELMAN
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 1:830 TWINING RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1700
Mailing Address - Country:US
Mailing Address - Phone:215-641-0441
Mailing Address - Fax:215-641-0111
Practice Address - Street 1:830 TWINING RD
Practice Address - Street 2:SUITE 9
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025-1700
Practice Address - Country:US
Practice Address - Phone:215-641-0441
Practice Address - Fax:215-641-0111
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-022238-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist