Jessica Lynn Pickell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019.033099 Issued in IL

Practice address

2127 W State Road 434
Longwood, FL 32779-4983

Phone

(407) 332-6060

Fax

(407) 332-8190

NPI assigned

Jun 1, 2021

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

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Comfortable Care Dental Health Professionals, PA

  dba Longwood Family Dentistry

  • General Practice Dentistry
  • Longwood, FL
  • NPI 1851503577
  NPD
• Dental Professionals of Illinois, P.C.

  dba 21st Century Dental - Springfield

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1770796047
  NPD (past)

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1780250795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794983",
            "telephone_number": "407-332-6060",
            "fax_number": "407-332-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794983",
            "telephone_number": "407-332-6060",
            "fax_number": "407-332-8190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2837 Chatham Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627044187",
            "country_code": "US",
            "telephone_number": "217-698-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2740 Prairie Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627117156",
            "country_code": "US",
            "telephone_number": "217-679-7727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13925 Landstar Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328245527",
            "country_code": "US",
            "telephone_number": "407-270-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKELL",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.