Edelwood Practices, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

EDELWOOD PRACTICES, LLC

Practice address

2100 Old Farm Dr
Frederick, MD 21702-9494

Phone

(626) 242-6456

NPI assigned

Dec 10, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jian Lee, DDS

Title

Owner/Dentist

Phone

(626) 242-6456

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1346104957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 OLD FARM DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 OLD FARM DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029494",
            "telephone_number": "626-242-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELWOOD PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JIAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "626-242-6456",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen D Ebert II, D.O.
• Leroy Eckenrode
• Britney Edelman
• Larry Bruce Edelstein, M.D.
• Sharon Edelstein
• Sara Edib
• Barry Sheldon Edland, DDS
• Kirsten Edler, NP
• Mia Nicole Egerman, RBT
• Brian Patrick Egloff, M.D.

• Pediatric Dentistry in Frederick, MD
• Providers in Frederick, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.