Tarver, Edward Jordan
Tarver, Edward Jordan is an sole proprietor health care provider with primary practice located at 1111 Parkway Frontage Rd N , Lakeland FL 33803. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Tarver, Edward Jordan can be contacted via phone (863) 644-2408.Contact Information
Primary practice address
1111 Parkway Frontage Rd N
Lakeland FL 33803
Phone: (863) 644-2408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN17195 | Florida |
Profile Details
| NPI number | 1093750630 |
|---|---|
| LBN Legal business name | Tarver, Edward Jordan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093750630 | NPPES |
| Florida | Other | DN17195 | LICENSE NUMBER |
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