Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548828346 Individual Practitioner Female Practitioner

Dr. Jenna Rose Obeng , DMD

Dentist - General Practice • Port Orange, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jenna Obeng, DMD is a registered healthcare professional specializing in Dentist - General Practice in Port Orange, FL. Practice services are available at 3949 S NOVA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3949 S Nova Rd

Port Orange, FL 321274910

Telephone 3867619440

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Port Orange, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN24121

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Jack Goldey , DDS

Dentist - General Practice

NPI 1215141353

Doctor of Dental Surgery

Dr. Carl Honerlaw , DDS

Dentist - General Practice

NPI 1366655466

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 12, 2023

Registered at 3949 S NOVA RD, PORT ORANGE, FL 321274910 (Tel: 3867619440)

👤
Provider Name / Credentials Updated January 02, 2023

Recorded as JENNA OBENG, DMD

NPI Profile Active June 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2019

Registered at 1540 CORNERSTONE BLVD STE 100, DAYTONA BEACH, FL 321177144 (Tel: 3862439950)

📍
Updated Business Mailing Address June 05, 2019

Registered at 201 CHELSEA PLACE AVE, ORMOND BEACH, FL 321740687 (Tel: 9042333559)

👤
Provider Name / Credentials Updated June 05, 2019

Recorded as JENNA SHUMAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2019

Dentist (License #DN24121 in FL)

🟢
Initial NPI Registration & Enumeration June 05, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548828346
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2019
Last Update: April 12, 2023
Sole Proprietor: No

Mailing Address

201 Chelsea Place Ave

Ormond Beach, FL 321740687

Phone: 9042333559

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.