| Jenny Edwards, PLLC | |
|
11246 Sullivan Street Riverview FL 33578 | |
| (813) 545-9081 | |
| Not Available |
| Full Name | Jenny Edwards, PLLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11246 Sullivan Street, Riverview, Florida |
| Authorized Official Name and Position | Jenny Anne Edwards (MGRM) |
| Authorized Official Contact | 8135459081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Edwards, PLLC 3433 Lithia Pinecrest Rd # 103 Valrico FL 33596-6302 Ph: (813) 545-9081 | Jenny Edwards, PLLC 11246 Sullivan Street Riverview FL 33578 Ph: (813) 545-9081 |
| NPI Number | 1023556388 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023556388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN19077 (Florida) | Primary |
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