Individual
EDMOND HAROLD LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 WB MCLEAN DR, HARROLD & SHOLAR DDS PA, CAPE CARTERET, NC 28584
(252) 393-8168
(252) 393-2978
Mailing address
204 B ROBIN AVE, ATLANTIC BEACH, NC 28512
(252) 726-1277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346100
UNITED CONCORDIA
—
05
—
7995273
—
NC
01
—
95273
NC BLUE CROSS BLUE SHIELD
—
Enumeration date
05/30/2006
Last updated
05/22/2008
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