| Jesse Edwards DMD PLLC | |
|
2815 Corrine Dr Orlando FL 32803-2235 | |
| (407) 894-5061 | |
| (407) 897-0887 |
| Full Name | Jesse Edwards DMD PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2815 Corrine Dr, Orlando, Florida |
| Authorized Official Name and Position | Jesse Edwards (MANAGER) |
| Authorized Official Contact | 4074158600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Edwards DMD PLLC 2815 Corrine Dr Orlando FL 32803-2235 Ph: (407) 894-5061 | Jesse Edwards DMD PLLC 2815 Corrine Dr Orlando FL 32803-2235 Ph: (407) 894-5061 |
| NPI Number | 1942815139 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942815139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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