Ata, Jill Edwards

Ata, Jill Edwards is an individual health care provider with primary practice located at 3192 S John Young Pkwy Suite B, Kissimmee FL 34746-8814. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ata, Jill Edwards can be contacted via phone (407) 870-5151.

Contact Information

Primary practice address
3192 S John Young Pkwy Suite B Kissimmee FL 34746-8814
Phone: (407) 870-5151
Fax: (407) 870-2556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN18675 Florida

Profile Details

NPI number 1699901165
LBN Legal business name Ata, Jill Edwards
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2009
Last updated Jun 10th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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