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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD JORDAN TARVER IV, DMD

Active Sole Proprietor

DR. EDWARD JORDAN TARVER IV, DMD is a Pediatric Dentistry healthcare provider located in LAKELAND, Florida. NPI 1093750630 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · LAKELAND, FL

Registration Details

NPI Number
1093750630
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2006 (20.14835799432 yrs)
Last Updated
Mar 7, 2023
License
DN17195 (FL)
Sole Proprietor
Yes

Practice Information

Address
1111 PARKWAY FRONTAGE RD N
LAKELAND, FL, 33803
Browse FL providers · Browse ZIP 33803
Phone
8636442408
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in LAKELAND, FL

Name Credential NPI
DR. JENNIFER DEPEW DMD 1679551154
DR. HARRY EDWARD BOPP DMD 1780605956
SHIRIN YASREBI DDS 1821006800
DR. SCOTT AARON SCHEPS DDS 1093012403
JENNIFER L CAVANAUGH D.M.D. 1740577352
MONA KHALAJ 1336593110
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.