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Deactivated NPI 1912949876 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas Alan Edwards , DDS

Dentist - General Practice • Safety Harbor, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Douglas Edwards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 12, 2006
NPI Deactivation Date May 09, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Edwards, DDS was a registered Dentist - General Practice practicing in Safety Harbor, FL. Throughout an active medical career spanning 16 years, Dr. Edwards provided care at the practice location at 701 ENTERPRISE RD E until profile deactivation on 2022-05-09.

Practice Location & Contact Primary Location

Practice Address

701 Enterprise Rd E
Suite 201

Safety Harbor, FL 346955350

Telephone 7277992400
Fax 7277968002
Associated Practice Facility / Clinic
🏢 Josephine Lucas Pa Facility NPI 1033109137

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Safety Harbor, FL

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

Practicing in Safety Harbor, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN-6343

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

1 Associated Practitioners
Dr. Nicolas Nieto , DMD

Dentist - General Practice

NPI 1710998752

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 09, 2022

Record deactivated on May 09, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 701 ENTERPRISE RD E, SUITE 201, SAFETY HARBOR, FL 346955350 (Tel: 7277992400)

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Updated Business Mailing Address July 08, 2007

Registered at 701 ENTERPRISE RD E, SUITE 201, SAFETY HARBOR, FL 346955350 (Tel: 7277992400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS EDWARDS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN-6343 in FL)

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Initial NPI Registration & Enumeration June 12, 2006

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: 1912949876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2006
Last Update: July 08, 2007
Deactivation Date: May 09, 2022

Mailing Address

701 Enterprise Rd E, Suite 201

Safety Harbor, FL 346955350

Phone: 7277992400

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.