Edward Jordan Tarver in Lakeland - Pediatric Dentistry
Edward Jordan Tarver - NPI 1093750630
Edward Jordan Tarver is a Pediatric Dentistry in Lakeland, Florida. Edward Jordan Tarver practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Edward Jordan Tarver is 1093750630. The last update date is 2023-03-07.
Edward Jordan Tarver's current location address is 1111 Parkway Frontage Rd N, Lakeland, Florida. You can contact this provider via phone number 8636442408. The mailing address for Edward Jordan Tarver is 1111 Parkway Frontage Rd N, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Jordan Tarver |
|---|---|
| Address | 1111 Parkway Frontage Rd N, Lakeland, Florida |
| Phone Number | 8636442408 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1093750630 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1111 Parkway Frontage Rd N |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 33803 |
| Phone Number | 8636442408 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN17195 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DN17195 | FL | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Edward Jordan Tarver by the Centers for Medicare & Medicaid Services?
The Edward Jordan Tarver has been assigned the NPI (National Provider Identifier) 1093750630 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Edward Jordan Tarver?
The Edward Jordan Tarver is physically situated at 1111 Parkway Frontage Rd N, in the city of Lakeland, state of FL, with the postal code 33803.
What is Edward Jordan Tarver's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edward Jordan Tarver is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093750630 to Edward Jordan Tarver?
The Centers for Medicare & Medicaid Services assigned the 1093750630 to Edward Jordan Tarver on 2006-06-18.
When was the information regarding Edward Jordan Tarver most recently updated?
The details pertaining to the Edward Jordan Tarver, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.