DR. JESSE R. EDWARDS (NPI# 1336555002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336555002 |
| Entity Type | Individual |
| Full Name | DR. JESSE R. EDWARDS |
| Credential | DMD |
| Practice Address |
7319 W Colonial Dr Orlando FL 32818-6746 |
| Mailing Address |
1408 Symphony Ct Orlando FL 32804-8054 |
| Practice Telephone | 4072949200 |
| Practice Fax Number | 4072941577 |
| Mailing Telephone | 4074158600 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN20654 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811316854 | Jesse Edwards | Internal Medicine | 909 Walnut St Ste 700, Philadelphia, PA 19107-5211 | 2014-04-07 |
| 1417330705 | Jesse Ivey Edwards IIi | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2015-07-04 |
| Street Address |
7319 W COLONIAL DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32818-6746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295794907 | Paul A. Pimentel | Dentist | 7319 W Colonial Dr, Orlando, FL 32818-6746 | 2006-03-21 |
| 1932583705 | Marlon David Anthony Foote | Dentist | 7319 W Colonial Dr, Orlando, FL 32818 | 2015-07-12 |
| 1093198301 | Nastassia Elena Shields | Dentist | 7319 W Colonial Dr, Orlando, FL 32818-6746 | 2015-07-06 |
| 1285051235 | Robert J. Gannon | Dentist | 7319 W Colonial Dr, Orlando, FL 32818-6746 | 2014-03-27 |
| 1881023315 | Trinity Elise Boszko | Dentist | 7319 W Colonial Dr, Orlando, FL 32818-6746 | 2013-11-05 |
| 1275814832 | Brian A Sider | Dentist | 7319 W Colonial Dr, Orlando, FL 32818-6746 | 2011-09-08 |
| 1629231949 | Nicole Vu | Dentist | 7319 W Colonial Dr, Orlando, FL 32818-6746 | 2008-07-07 |
| 1821057670 | Kia Kaviani | Dentist | 7319 W Colonial Dr, Orlando, FL 32818-6746 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285275206 | Shareen Sutherland | Nurse Practitioner | 1896 Lake Hill Circle, Orlando, FL 32818 | 2019-10-01 |
| 1235611245 | Welcome Home Wellness Center LLC | Clinic/Center | 7732 Silver Star Rd Ste 2, Orlando, FL 32818 | 2018-09-06 |
| 1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
| 1598283418 | 2 Heart To Heart Group Home, Inc | Homemaker | 6617 Kristin Ct, Orlando, FL 32818 | 2017-08-30 |
| 1508383159 | Adancia Sainte Ducleron | Behavior Technician | 8315 Snowfire Dr, Orlando, FL 32818 | 2017-08-24 |
| 1891210910 | Eddie L. Banks Jr. | Counselor | 2724 Silkwood Cir., 927, Orlando, FL 32818 | 2017-08-09 |
| 1275077018 | Mirlande Nelson | Specialist | 501 W Colonial Dr, Orlando, FL 32818 | 2016-12-13 |
| 1477906782 | Adrain Yvette Lee | Nurse Practitioner | 6388 Silver Star Rd Ste 2b, Orlando, FL 32818 | 2016-07-21 |
| 1013389659 | Jessica Jocelyn | Speech-Language Pathologist | 6727 Meritmoor Circle, Orlando, FL 32818 | 2015-10-22 |
| 1104226745 | Emmanuella Delorme | Behavior Technician | 7225 Woodridge Park Dr, 8102, Orlando, FL 32818 | 2014-09-02 |
| Find all providers in zip 32818 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917215 | Christian Arcolin Lo Monaco | Dentist | 8865 Commodity Cir Ste 6, Orlando, FL 32819-9077 | 2020-06-22 |
| 1821625161 | Strategic Dental P.a. | Dentist | 12250 Strategy Blvd Ste 437, Orlando, FL 32817-2108 | 2020-03-26 |
| 1538794185 | Nona Dentists 3, Pa | Dentist | 12964 Narcoossee Rd, Orlando, FL 32832-6925 | 2020-03-04 |
| 1245863463 | Leonard S Kaplan Dds Pa | Dentist | 12131 S Apopka-vineland Rd, Orlando, FL 32836-6802 | 2020-02-17 |
| 1811546856 | Leslie Joelle Fernandez Bencosme | Dentist | 13670 Boggy Creek Rd, Orlando, FL 32824-9203 | 2019-09-11 |
| 1841844321 | Ryan Christopher Huhn | Dentist | 1100 S Orange Ave, Orlando, FL 32806-1249 | 2019-08-01 |
| 1740848167 | Quy Phan | Dentist | 3502 Avalon Park West Blvd, Orlando, FL 32828-7859 | 2019-05-31 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| 1407330145 | Providence Dental LLC | Dentist | 12450 E. Colonial Drive Suite 124, Orlando, FL 32826 | 2018-09-19 |
| 1306332143 | Peter Fereg | Dentist | 5979 Vineland Rd Ste 205, Orlando, FL 32819-7855 | 2018-07-05 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.