Andre Edwards, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

25911 Issued in FL

Practice address

28029 South Highway US 27
Dundee, FL 33838

Phone

(863) 547-4983

NPI assigned

Dec 9, 2021

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brausa Dental Smiles Dundee LLC

  • Dentist
  • Dundee, FL
  • NPI 1114687134
  NPD

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1760141568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 EAGLE PEAK DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466603",
            "telephone_number": "407-922-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28029 SOUTH HIGHWAY US 27",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "33838",
            "telephone_number": "863-547-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ANDRE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Purpose With Care LLC
• Tonisha Doku, RBT
• Dundee Medical Walk-in Clinic
• Dundee Podiatry and Therapy Services PA
• Ebony Tyler Dunstan, RBT
• Estella Loving Care, LLC
• Expert Care Inc
• Florida Skilled Therapy Services Inc
• Florida Spine & Wellness Center Corp.
• Deborah Gary Marie Gary, LMHC

• Dentist in Dundee, FL
• Providers in Dundee, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.