MRS. SAMANTHA KERINA EDWARDS


Address: 2115 Sw 50th Ave, West Park, FL 33023-3235
Phone: 9544782743

MRS. SAMANTHA KERINA EDWARDS (NPI# 1962793554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962793554
Entity Type Individual
Full Name MRS. SAMANTHA KERINA EDWARDS
Credential RDH
Practice Address 2115 Sw 50th Ave
West Park
FL 33023-3235
Mailing Address 2115 Sw 50 Th Avenue
West Park
FL 33023
Practice Telephone 9544782743
Mailing Telephone 9544782743
Enumeration Date 2011-04-29
Last Update Date 2011-04-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist DH18493 FL Dental Providers

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Office Location

Street Address 2115 SW 50TH AVE
City WEST PARK
State FL
Zip Code 33023-3235

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1598208944 Timothy M Johnson Contractor 2637 Pine Tree Dr, Miramar, FL 33023 2016-12-02
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

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NPI Name Taxonomy Address Enumeration
1164037453 Mary Kate Pace Dental Hygienist 1115 N Eglin Pkwy, Shalimar, FL 32579-1228 2020-09-13
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1902426729 Jose Dalby Contreras Dental Hygienist 690 Sw 1st Ct Apt 2319, Miami, FL 33130-2927 2020-04-22
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Competitor

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City WEST PARK
Zip Code 33023

Improve Information

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Dataset Information

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.

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