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Dr. Edward Jordan Tarver IV

Pediatric Dentist

1111 Parkway Frontage Rd N
Lakeland , Florida 33803

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Dr. Edward Jordan Tarver IV

Pediatric Dentist

1111 Parkway Frontage Rd N
Lakeland , Florida 33803

(863) 644-2408

Write a Review Save Call

Dr. Edward Jordan Tarver IV

Pediatric Dentist

1111 Parkway Frontage Rd N
Lakeland , Florida 33803

(863) 644-2408 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Dentist

Languages spoken

  • English

Location

1111 Parkway Frontage Rd N Lakeland , Florida 33803

First Address

  • Dr. Edward Jordan Tarver IV
  • 1111 Parkway Frontage Rd N
  • Lakeland, FL
  • Zip : 33803
  • Phone : (863) 644-2408

Second Address

  • Dr. Edward Jordan Tarver IV
  • 1111 Parkway Frontage Rd N
  • Lakeland, FL
  • Zip : 33803
  • Phone : (863) 644-2408

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FAQs


Where did Dr. Edward Jordan Tarver IV attend graduate school?

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Where did Dr. Edward Jordan Tarver IV do his residency?

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Where did Dr. Edward Jordan Tarver IV do his fellowship?

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Is Dr. Edward Jordan Tarver IV board certified?

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What type of doctor is Dr. Edward Jordan Tarver IV

Pediatric Dentist

In what state does Dr. Edward Jordan Tarver IV practice in?

Florida

Where is Dr. Edward Jordan Tarver IV’s practice located?

1111 Parkway Frontage Rd N , Lakeland, Florida, 33803

What is Dr. Edward Jordan Tarver IV’s gender?

Male

Is Dr. Edward Jordan Tarver IV a sole practitioner?

No

Is Dr. Edward Jordan Tarver IV accepting new patients?

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What languages does Dr. Edward Jordan Tarver IV speak?

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Does Dr. Edward Jordan Tarver IV accept insurance?

Yes, Dr. Edward Jordan Tarver IV accepts insurance

Does Dr. Edward Jordan Tarver IV offers telemedicine?

Dr. Edward Jordan Tarver IV has not indicated if he offers telemedicine

What is Dr. Edward Jordan Tarver IV’s professional license number?

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What is Dr. Edward Jordan Tarver IV’s NPI number?

1093750630

Does Dr. Edward Jordan Tarver IV have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0221X Pediatric Dentist DN17195 FL

National Provider Identifier

NPI 1093750630
Provider Name Dr. Edward Jordan Tarver IV
First Address Lakeland, FL 33803
Second Address Lakeland, FL 33803
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 18/06/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
BT 9412785 DEA (01) FL
DN17195 LICENSE NUMBER (01) FL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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