DR. JASON ANTHONY EDWARDS (NPI# 1619156858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619156858 |
Entity Type | Individual |
Full Name | DR. JASON ANTHONY EDWARDS |
Credential | DMD |
Practice Address |
5420 Land O Lakes Blvd Suite #104 Land O Lakes FL 34639-3401 |
Mailing Address |
449 S 12th St Apt 1201 Tampa FL 33602-5606 |
Practice Telephone | 8135288999 |
Practice Fax Number | 8135288997 |
Mailing Telephone | 8135288999 |
Mailing Fax Number | 8135288997 |
Enumeration Date | 2007-10-24 |
Last Update Date | 2016-10-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN16709 | FL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097059 | Jason Daniel Edwards | Home Health Aide | 10979 Comanche Dr, Sidney, OH 45365-9587 | 2020-09-13 |
1154709947 | Jason Edwards | Physical Medicine & Rehabilitation | 525 E 68th St # F-1600, New York, NY 10065-4870 | 2015-05-12 |
1568721454 | Jason Matthew Edwards | Radiology | 232 S Woods Mill Rd Ste 110e, Chesterfield, MO 63017 | 2012-05-11 |
1467586222 | Jason Edwards | Dietitian, Registered | Hwy 72 North, Salem, MO 65560-0774 | 2007-03-15 |
1114022696 | Jason Alan Edwards | Chiropractor | 940 W San Marcos Blvd, Suite B, San Marcos, CA 92078-1120 | 2006-09-13 |
1124472204 | Jason Edwards | Internal Medicine | 462 Grider St, Buffalo, NY 14215-3098 | 2016-04-14 |
1770968471 | Jason Daniel Edwards | Nurse Anesthetist, Certified Registered | 22 Bramhall St, Portland, ME 04102-3134 | 2015-07-23 |
1861804288 | Jason Kelley Edwards | Anesthesiology | 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | 2014-05-21 |
1043635337 | Jason Carl Edwards | Dentist | 9339 E 21st St N, Wichita, KS 67206-2971 | 2014-02-24 |
1588924690 | Jason Travis Edwards | Anesthesiology | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2012-05-22 |
Street Address |
5420 LAND O LAKES BLVD SUITE #104 |
City | LAND O LAKES |
State | FL |
Zip Code | 34639-3401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639176209 | Michael A Craven | Chiropractor | 5420 Land O Lakes Blvd, Suite 105, Land O Lakes, FL 34639-3401 | 2005-06-28 |
1235471590 | Land O Lakes Oral Maxillofacial & Implant Surgery | Dentist | 5420 Land O Lakes Blvd, Suite #103, Land O Lakes, FL 34639-3401 | 2013-03-25 |
1063659167 | Michael A Craven Dc Pa | Clinic/Center | 5420 Land O Lakes Blvd, Suite 105, Land O Lakes, FL 34639-3401 | 2009-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730640962 | Destiny Marie Gaines | Counselor | 22703 Chesterview Loop Apt.211, Land O Lakes, FL 34639 | 2019-03-29 |
1720544380 | Central Florida Dermatology Institute, Pllc | Dermatology | 5450 Land O Lakes Blvd, Land O Lakes, FL 34639 | 2019-02-19 |
1073932174 | Erika Schaefer Meier | Nurse Practitioner | 2061 Collier Parkway, Land O Lakes, FL 34639 | 2014-04-16 |
1548526924 | George Alan Brant | Dermatology | 5450 Land O' Lakes Blvd, Land O' Lakes, FL 34639 | 2012-04-10 |
1679848956 | Floirda Medical Clinic Aco, LLC | Clinic/Center | 2150 Via Bella Blvd., Land O Lakes, FL 34639 | 2012-03-20 |
1336452408 | Jennifer T Gardner | Counselor | 5402 Swallow Dr, Land O Lakes, FL 34639 | 2010-07-19 |
1104094515 | Angela Claire Marina | Occupational Therapy Assistant | 7227 Land O Lakes Boulevard, Land O Lakes, FL 34639 | 2008-02-19 |
1154521151 | Kelly John Mulroy | Counselor | 3632 Land O'lakes Blvd, Suite 106, Land O'lakes, FL 34639 | 2007-07-19 |
1225248610 | Sandra J Aljure Estrada Dds Pa | Dentist | 21533 Villages Lakes Shopping Center, Land O Lakes, FL 34639 | 2007-05-23 |
1124233523 | Antionette Elizabeth Welch | Nurse Practitioner | 2121 Collier Parkway, The Little Clinic, Land O' Lakes, FL 34639 | 2007-05-11 |
Find all providers in zip 34639 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235471590 | Land O Lakes Oral Maxillofacial & Implant Surgery | Dentist | 5420 Land O Lakes Blvd, Suite #103, Land O Lakes, FL 34639-3401 | 2013-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
Find all providers with the same taxonomy |
City | LAND O LAKES |
Zip Code | 34639 |
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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.