JENNIFER L CAVANAUGH (NPI# 1740577352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740577352 |
| Entity Type | Individual |
| Full Name | JENNIFER L CAVANAUGH |
| Other Name | JENNIFER L SENGE |
| Credential | D.M.D. |
| Practice Address |
1111 N Parkway Frontage Rd Lakeland FL 33803-0400 |
| Mailing Address |
3032 Via Rialto St Fort Myers FL 33905-5412 |
| Practice Telephone | 8636442408 |
| Mailing Telephone | 4123703634 |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS038741 | PA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN19962 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720586811 | Jennifer Ray Cavanaugh | Behavior Technician | 1690 W Shaw Ave Ste 102, Fresno, CA 93711-3518 | 2018-01-24 |
| Street Address |
1111 N PARKWAY FRONTAGE RD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679551154 | Jennifer Depew | Dentist | 1111 N Parkway Frontage Rd, Lakeland, FL 33803 | 2006-01-05 |
| 1093012403 | Scott Aaron Scheps | Dentist | 1111 N Parkway Frontage Rd, Lakeland, FL 33803-0400 | 2011-02-21 |
| 1023318052 | Bopp and Tarver Pllc | Dentist | 1111 N Parkway Frontage Rd, Lakeland, FL 33803-0400 | 2010-10-25 |
| 1780605956 | Harry Edward Bopp | Dentist | 1111 N Parkway Frontage Rd, Lakeland, FL 33803-0400 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972732675 | Roshni M Patel | Dentist | 5710 Us Highway 98 N, Lakeland, FL 33809-3108 | 2009-07-02 |
| 1821200585 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4238 U.S. Highway 98 North, Lakeland, FL 33809 | 2007-05-04 |
| 1538200282 | Nancy Montgomery | Dentist | 225 Imperial Blvd, Lakeland, FL 33803-4612 | 2007-02-08 |
| 1821006800 | Shirin Yasrebi | Dentist | 2015 E Edgewood Dr, Lakeland, FL 33803 | 2006-08-04 |
| 1093750630 | Edward Jordan Tarver Iv | Dentist | 1111 Parkway Frontage Rd N, Lakeland, FL 33803 | 2006-06-18 |
| 1679551154 | Jennifer Depew | Dentist | 1111 N Parkway Frontage Rd, Lakeland, FL 33803 | 2006-01-05 |
| 1235622051 | Kristen Elizabeth Dreyer | Dentist | 5710 Us Highway 98 N, Lakeland, FL 33809-3108 | 2018-06-07 |
| 1174887095 | Pediatric Dentistry of Lakeland, Pllc | Dentist | 5710 Us Highway 98 N, Lakeland, FL 33809-3108 | 2012-06-25 |
| 1023318052 | Bopp and Tarver Pllc | Dentist | 1111 N Parkway Frontage Rd, Lakeland, FL 33803-0400 | 2010-10-25 |
| 1427219773 | Shirin Yasrebi, Dds | Dentist | 2015 E Edgewood Dr, Lakeland, FL 33803-3601 | 2008-06-19 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.