SearchMissouri122300000X

Thaddeus Edwardson, DMD

NPI 1326530510 · on the registry since 2018

Practice

Address
2727 Saint Marys Ave
Hannibal, MO 63401
Phone
(573) 221-1227
Organisation at this address
Hannibal Dental Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri