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EDELWOOD PRACTICES, LLC
NPI 1346104957
Dentist - Pediatric Dentistry in Frederick, MD

Active since December 10, 2025
2100 OLD FARM DR, FREDERICK, MD 21702(626) 242-6456 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Edelwood Practices, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDELWOOD PRACTICES, LLC (NPI 1346104957) is a healthcare organization registered as a pediatric dentistry in Frederick, Maryland and active in the NPI registry since December 2025. The organization lists Jian Lee, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1346104957
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameEDELWOOD PRACTICES, LLC
Location Address2100 OLD FARM DRFrederick, MD 21702-9494
Mailing Address2100 Old Farm DrFrederick, MD 21702-9494
Phone(626) 242-6456
Organization SubpartNo
Authorized OfficialJian LeeOwner/dentist · (626) 242-6456
Enumeration DateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1346104957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2100 OLD FARM DR, Frederick, MD 21702
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD LEE ROGERS D.D.S.
Dentist (General Practice)
2100 OLD FARM DR, SUITE1F
FREDERICK, MD 21702
Frederick County (301) 663-1700
RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC
Durable Medical Equipment & Medical Supplies
2100 OLD FARM DR, SUITE D
FREDERICK, MD 21702
Frederick County (301) 418-6014
RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC
Clinic/Center (Podiatric)
2100 OLD FARM DR, SUITE D
FREDERICK, MD 21702
Frederick County (301) 418-6014
RECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC
Podiatrist
2100 OLD FARM DR, SUITE D
FREDERICK, MD 21702
Frederick County (301) 418-6014
DR. ROBERT MICHAEL SKVORAK DDS
Dentist
2100 OLD FARM DR, 1 E
FREDERICK, MD 21702
Frederick County (301) 631-5970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edelwood Practices, LLC's NPI number?

The NPI number for Edelwood Practices, LLC is 1346104957. It was assigned to this organization in the NPPES registry on December 10, 2025.

Where is Edelwood Practices, LLC located?

Edelwood Practices, LLC is located at 2100 Old Farm Dr, Frederick, MD 21702. The listed phone number is (626) 242-6456.

What is Edelwood Practices, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Edelwood Practices, LLC was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.