DR. MARK ALLEN EDWARDS (NPI# 1972606341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972606341 |
| Entity Type | Individual |
| Full Name | DR. MARK ALLEN EDWARDS |
| Credential | DDS |
| Practice Address |
1161 Se Port St Lucie Blvd Port St Lucie FL 34952-5332 |
| Practice Telephone | 7723357766 |
| Practice Fax Number | 7723351951 |
| Mailing Telephone | 7723357766 |
| Mailing Fax Number | 7723351951 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10361 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246189 | Mark Savage Edwards | Student in an Organized Health Care Education/Training Program | 101 The City Dr S Ste 40, Orange, CA 92868-3201 | 2019-03-27 |
| 1083703763 | Mark Todd Edwards | Dentist | 6000 Jfh Parkway, Suite A, Adairsville, GA 30103 | 2006-10-12 |
| 1437266632 | Mark Alan Edwards | Nurse Anesthetist, Certified Registered | 350 Louisiana Ave, Libby, MT 59923-2130 | 2006-08-24 |
| 1760492318 | Mark C. Edwards | Dentist | 4830 Quail Crest Pl Ste A, Lawrence, KS 66049-3842 | 2006-08-08 |
| 1295742674 | Mark S Edwards | Pharmacist | 108 Lake Point Dr, Richmond, KY 40475-3821 | 2006-08-01 |
| 1184647166 | Mark S. Edwards | Internal Medicine | 2195 West St, Germantown, TN 38138-3830 | 2006-07-25 |
| 1689694788 | Mark J. Edwards | Chiropractor | 294 State Highway 7, Sidney, NY 13838-2716 | 2006-07-20 |
| 1760430284 | Mark S Edwards | Family Medicine | 210 E. Harris, San Angelo, TX 76903 | 2006-05-05 |
| 1386645554 | Mark Edwards | Emergency Medicine | 4713 Highway 90, Pace, FL 32571-1403 | 2005-08-09 |
| 1932102233 | Mark Vincent Edwards | Dentist | 2600 South Loop W, Ste 410, Houston, TX 77054-2642 | 2005-05-31 |
| Street Address |
1161 SE PORT ST LUCIE BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-5332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003471459 | Tdc Port St. Lucie LLC | Dentist | 1161 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5332 | 2019-05-01 |
| 1831483759 | Josue Dieuveille | Dentist | 1161 Se Port St Lucie Blvd, Port St Lucie, FL 34952 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450556 | Atlantic Dental Management Company Pa | Dentist | 1449 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968 | 2020-09-04 |
| 1225584907 | Gregorio Joseph Cris Gugol Aquino | Dentist | 3415 Sw Ellis St, Port St Lucie, FL 34953-5100 | 2016-08-31 |
| 1417326869 | Sage Dental of Port St Lucie Pediatric & Specialty Center Pllc | Dentist | 1660 Sw Saint Lucie West Blvd, Suite 302, Port St Lucie, FL 34986-1967 | 2015-09-16 |
| 1619372760 | Aegean Dental of Port St Lucie, LLC | Dentist | 308 Nw Bethany Dr, Port St Lucie, FL 34986-3578 | 2014-10-31 |
| 1972906550 | Fernando Orestes San Juan Jr. | Dentist | 3217 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-3406 | 2014-09-26 |
| 1518212877 | Aditi K Patel | Dentist | 1679 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-2106 | 2012-07-23 |
| 1205193539 | Sage Dental of Port St Lucie West, Pllc | Dentist | 1722 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-2504 | 2012-04-11 |
| 1346528692 | Thomas Michael Hickey | Dentist | 1202 S.e. Port Saint Lucie Boulevard Suite B, Family Dentistry, Port St Lucie, FL 34952 | 2011-08-03 |
| 1710270939 | Affordable Dentures Port St. Lucie II Pa | Dentist | 9140 S Federal Highway, Port St Lucie, FL 34952-3485 | 2011-05-20 |
| 1457664229 | Daniel M Fenton | Dentist | 9140 S Federal Hwy, Port St Lucie, FL 34952-3485 | 2010-07-21 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on DR. MARK ALLEN EDWARDS.
| 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.