Jennifer Depew, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN17161 Issued in FL

Practice address

1111 N Parkway Frontage Rd
Lakeland, FL 33803

Phone

(850) 313-9012

NPI assigned

Jan 5, 2006

Last updated

Aug 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1679551154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N PARKWAY FRONTAGE RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338030400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N PARKWAY FRONTAGE RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "850-313-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Chester St",
            "address_purpose": "LOCATION",
            "city": "Lakenheath",
            "state": "Brandon",
            "postal_code": "IP27 9PS",
            "country_code": "GB",
            "telephone_number": "01638528813",
            "country_name": "Great Britain",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "DEPEW",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN17161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Dentler, LCSW
• Allison G Denton
• Tony Lawson Denton, H.A.S.
• Cynthia Deokarran, PHARMD
• Mariah Korinna Depass, RMHCI
• Cody Derby, LAT, ATC
• Pamela Derbyshire, APRN, PMHNP-BC
• Derenees LLC
• Nardin Derias, MD
• Dermatology Associates of Central Florida PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.