Individual
DR. EDWARD ELI LANCASTER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1349 S INTERNATIONAL PKWY STE 1441, LAKE MARY, FL 32746-1698
(407) 833-9533
Mailing address
130 CASCADE TER, DAYTONA BEACH, FL 32118-6228
(321) 977-0820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3271
SC
1223G0001X
General Practice Dentistry
Primary
DN20360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3271
SOUTH CAROLINA DENTAL BOARD
SC
01
—
DN20-360
FLORIDA DENTAL BOARD
FL
Enumeration date
11/13/2006
Last updated
09/09/2024
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