Edith Socorro Gonzalez Jaimes, D.D.S.

Dentist · Fredericksburg, VA

Individual Active NPI

NPI number 1013405992

Practice location

121 Park Hill Dr.
Suite a
Fredericksburg, VA 22401
Phone
(540) 373-1660

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NPI record

NPI
1013405992
Entity type
Individual (Type 1)
Enumeration date
April 26, 2018
Last updated
August 10, 2021
Certified
August 10, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0401417411 VA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

PO Box 4947
Glen Allen, VA 23058
Phone
(540) 223-5602

About Dr. Gonzalez Jaimes

Edith Socorro Gonzalez Jaimes, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 121 Park Hill Dr., Suite a, Fredericksburg, VA 22401. The NPI number 1013405992 was assigned on April 26, 2018 and the record was last updated on August 10, 2021.

Dr. Gonzalez Jaimes lists a license in the registry: #0401417411 (VA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edith Socorro Gonzalez Jaimes, D.D.S.?

The NPI number is 1013405992.

What is the phone number of Dr. Gonzalez Jaimes?

The phone number listed for the practice location is (540) 373-1660.

Where is Dr. Gonzalez Jaimes located?

121 Park Hill Dr., Suite a, Fredericksburg, VA 22401.

What is the taxonomy code for Dr. Gonzalez Jaimes?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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