Jason Anthony Edwards DMD

NPI 1619156858 - Dentist - 1223S0112X

NPI Details
NPI 1619156858
Gender Male
Enumeration Date 10/24/2007
Last Updated 09/10/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
5420 LAND O LAKES BLVD
SUITE #103
LAND O LAKES FL, 34639-3401, US
Phone (813) 601-1122
Fax
Business Location
5420 LAND O LAKES BLVD
SUITE #103
LAND O LAKES FL, 34639-3401, US
Phone (813) 601-1122
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Florida
License Number DN16709
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According to our database, Dr. Jason Anthony Edwards DMD NPI is 1619156858, taxonomy code is 1223S0112X and license number is DN16709, license state is located at Florida. Jason Anthony Edwards DMD physically located at 5420 Land O Lakes Blvd, Land O Lakes FL, 34639-3401. NPI Number Jason Anthony Edwards DMD has the Individual type.

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1619156858 NPI number is provided on an as is basis without warranty of any kind. 1619156858 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Anthony Edwards DMD are for informational purposes only.