Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558983429 Individual Practitioner Female Practitioner

Jenna Marie Vandewater

Dentist • Sunrise, FL

Professional Overview & Biography Verified Profile Summary

Jenna Vandewater is a registered healthcare professional specializing in Dentist in Sunrise, FL. Practice services are available at 4500 N HIATUS RD STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4500 N Hiatus Rd Ste 202

Sunrise, FL 333517983

Telephone 8669884504
Associated Practice Facility / Clinic
🏢 Texas Mobile Dentists, Inc Facility NPI 1306077458

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Sunrise, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
46 Specialists

Practicing in Sunrise, FL (6414 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: 2024-07-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL 25241

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1 Kneeland St

Boston, MA 021111529

Phone: 6176366828

Practice Associates & Co-Workers

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

7 Associated Practitioners
Becky Plotts

Dental Hygienist

NPI 1093683906
Dr. Syeda Zehra , DMD

Dentist - General Practice

NPI 1154010361

Doctor of Dental Medicine

Elizabeth Rico , RDH

Dental Hygienist

NPI 1417766312

Registered Dental Hygienist

NPI 1689382194

Doctor of Dental Surgery

NPI 1760050793

Doctor of Dental Surgery

Tin Cheng

Dentist

NPI 1760129084

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 09, 2024

Registered at 4500 N HIATUS RD STE 202, SUNRISE, FL 333517983 (Tel: 8669884504)

📍
Updated Business Mailing Address February 09, 2024

Registered at 4500 N HIATUS RD STE 202, SUNRISE, FL 333517983 (Tel: 9086165149)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2024

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location August 26, 2021

Registered at 140 S UNIVERSITY DR, PEMBROKE PINES, FL 330252234 (Tel: 9543808325)

📍
Updated Business Mailing Address August 26, 2021

Registered at 621 SW 101ST AVE, PLANTATION, FL 333242250 (Tel: 9086165149)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2021

Dentist (License #25241 in FL)

NPI Profile Active May 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2020

Registered at 1945 STATE ROUTE 33, NEPTUNE, NJ 077534859 (Tel: 7327755500)

📍
Updated Business Mailing Address May 13, 2020

Registered at 67 STONEHENGE TER, CLARK, NJ 070662048 (Tel: 9086165149)

👤
Provider Name / Credentials Updated May 13, 2020

Recorded as JENNA VANDEWATER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 13, 2020

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: 1558983429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2020
Last Update: July 01, 2024
Sole Proprietor: Yes

Mailing Address

4500 N Hiatus Rd Ste 202

Sunrise, FL 333517983

Phone: 9086165149

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.