JESSE EDWARDS DMD PLLC (NPI# 1942815139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942815139 |
| Entity Type | Organization |
| Organization Name | JESSE EDWARDS DMD PLLC |
| Practice Address |
2815 Corrine Dr Orlando FL 32803-2235 |
| Practice Telephone | 4078945061 |
| Practice Fax Number | 4078970887 |
| Mailing Telephone | 4078945061 |
| Mailing Fax Number | 4078970887 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DR. JESSE EDWARDS (MANAGER) |
| Authorized Official Telephone | 4074158600 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2815 CORRINE DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942425525 | Thomas Duval Hunter | Dentist | 2815 Corrine Dr, Orlando, FL 32803-2235 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1073139697 | Curry Ford Dental | Clinic/Center | 5946 Curry Ford Rd Ste 101, Orlando, FL 32822-4209 | 2020-06-19 |
| 1609402197 | Conway Oaks Dental | Clinic/Center | 3221 Conway Rd Ste A, Orlando, FL 32812-7354 | 2020-03-17 |
| 1528601309 | Sagori Dental Inc. | Clinic/Center | 6000 Turkey Lake Rd Ste 109, Orlando, FL 32819-4205 | 2019-10-23 |
| 1972145324 | Esteem Holdings LLC | Clinic/Center | 13559 Narcoossee Rd, Orlando, FL 32832-7136 | 2019-10-16 |
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1700374212 | Z Maali Dental Inc. | Clinic/Center | 7932 W Sand Lake Rd Ste 301, Orlando, FL 32819-7230 | 2018-04-30 |
| 1861943870 | South Familia Dental Pa | Clinic/Center | 12720 S Orange Blossom Trl Ste 22, Orlando, FL 32837-6227 | 2016-10-14 |
| 1881143089 | Orlando Dentist and Denture Lab LLC | Clinic/Center | 4929 S Orange Ave, Orlando, FL 32806-6932 | 2016-09-28 |
| 1285000141 | Frederick Palacios Dds Pa | Clinic/Center | 531 S Chickasaw Trl, Orlando, FL 32825-7801 | 2015-08-14 |
| 1134503246 | Eds Dental Clinic Inc | Clinic/Center | 251 E Michigan St, Orlando, FL 32806-4537 | 2015-07-17 |
| 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.