Jenny Edwards, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN19077 Issued in FL

Legal business name

JENNY EDWARDS, PLLC

Practice address

11246 Sullivan Street
Riverview, FL 33578

Phone

(813) 545-9081

NPI assigned

Feb 7, 2017

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jenny Anne Edwards, DMD

Title

MGRM

Phone

(813) 545-9081

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenny Edwards Lynn, DMD

  • Pediatric Dentistry
  • Riverview, FL
  • NPI 1689989071
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1023556388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 LITHIA PINECREST RD # 103",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966302",
            "telephone_number": "813-545-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11246 SULLIVAN STREET",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33578",
            "telephone_number": "813-545-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY EDWARDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "813-545-9081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN19077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Jean-Pierre, PHARMD
• Jeffrey V Moffett D.M.D P.a
• Britney Jenkins
• Jennifer a. Leigh, M.S. CCC-SLP, Inc. (Total Therapy)
• Jennifer a. Leigh, M.S. CCC-SLP, Inc. (Total Therapy)
• Sophia Jensen
• Jessica Wolff
• JNS RX LLC (Riverview Pharmacy)
• JNS RX LLC (Riverview Pharmacy)
• Joanna Mulder NP Inc

• Pediatric Dentistry in Riverview, FL
• Providers in Riverview, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.