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Dr. Edward Jordan Tarver IV, DMD
Pediatric Dentist in Lakeland, Florida
NPI 1093750630

Edward Jordan Tarver IV is a Pediatric Dentist based in Lakeland, FL and is specialized in Pediatric Dentistry. Edward Jordan Tarver IV practices in Lakeland, FL and has the professional credentials of DMD. The NPI Number for Edward Jordan Tarver IV is 1093750630 and holds a License No. DN17195 (Florida).

The current practice location address for Edward Jordan Tarver IV is 1111 Parkway Frontage Rd N, Lakeland, FL and can be reached out via phone at 863-644-2408. You can also correspond with Edward Jordan Tarver IV through the mailing address at 1111 PARKWAY FRONTAGE RD N, LAKELAND, FL - 33803 (mailing address contact number: 863-644-2408).

Location: 1111 Parkway Frontage Rd N, Lakeland, FL, 33803
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Provider Profile Details
NPI Number
1093750630
Provider Name
Edward Jordan Tarver IV
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1111 Parkway Frontage Rd N, Lakeland, FL, 33803
Phone Number
863-644-2408
Fax Number
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN17195 01 FL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1111 Parkway Frontage Rd N
City
State
Zip
33803
Phone Number
863-644-2408
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Parkway Frontage Rd N
City
State
Zip
33803
Phone Number
863-644-2408
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DN17195 (Florida)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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