Jennifer Schultz Tharp, DDS
Individual provider Active NPI General Practice Dentistry · Pensacola, FL
NPI 1558341925 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1558341925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2000162935 (MO)
- Practice address
- 12385 Bedell Dr
Pensacola, FL 32506-9461 - Phone
- (850) 529-4738
- NPI assigned
- Jan 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150615000329 | MO | Order and Referring Only - Oral Surgery |
2466763743 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000162935 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2000162935 | MO | Yes |
Addresses
Primary practice location
12385 Bedell Dr
Pensacola, FL 32506-9461
Mailing address
12385 Bedell Dr
Pensacola, FL 32506-9461
Phone (850) 529-4738
Other providers in Pensacola, FL
- Terry R. Richmond, DDS, PA
- Venancio S Teves
- Shasta Brianne Tew
- Texas Ams PLLC
- Phuong Thai Thach
- The Anchor Clinic, LLC
- The Anchor Clinic, LLC
- The Anesthesia Group, P.a.
- The Baptist Manor
- The Center for Compassionate Care, LLC
All providers in Pensacola, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.