Dr. Edward Jordan Tarver Iv is a Lakeland, Florida based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Edward Jordan Tarver Iv is
DN17195 for Pediatric Dentistry in Florida. His current practice location is
1111 Parkway Frontage Rd N, Lakeland. Patients can reach him at
863-644-2408.
Dr. Edward Jordan Tarver Iv provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Edward Jordan Tarver Iv speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Edward Jordan Tarver Iv |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1111 Parkway Frontage Rd N, Lakeland,
Florida, 33803 |
| Phone: | 863-644-2408 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1093750630 |
| NPI Enumeration Date: | 18 Jun, 2006 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edward Jordan Tarver Iv are as mentioned below.
| License Number | Specialization | State | Status | |
| DN17195 | Pediatric Dentistry | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edward Jordan Tarver Iv such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| DN17195 | Other | Florida | LICENSE NUMBER |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1111 Parkway Frontage Rd N,
Lakeland, Florida |
| Zip: | 33803 |
| Phone Number: | 863-644-2408 |
Patients can reach Dr. Edward Jordan Tarver Iv at
1111 Parkway Frontage Rd N, Lakeland, Florida or can
call to book an appointment on 863-644-2408.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.