Jade Rashida Lopez, DDS

Dentist · Lake Wales, FL

Individual Active NPI

NPI number 1649901976

Practice location

24185 Us Highway 27
Lake Wales, FL 33859-7819
Phone
(863) 676-6200

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NPI record

NPI
1649901976
Entity type
Individual (Type 1)
Enumeration date
June 17, 2022
Last updated
May 17, 2023
Certified
May 17, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN27169 FL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

3610 SW 165TH Ave
Miramar, FL 33027-4513
Phone
(954) 662-4922

Other practice locations (1)

  • 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 · (813) 397-5300

About Dr. Lopez

Jade Rashida Lopez, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 24185 Us Highway 27, Lake Wales, FL 33859-7819. The NPI number 1649901976 was assigned on June 17, 2022 and the record was last updated on May 17, 2023.

Dr. Lopez lists a license in the registry: #DN27169 (FL) 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 Jade Rashida Lopez, DDS?

The NPI number is 1649901976.

What is the phone number of Dr. Lopez?

The phone number listed for the practice location is (863) 676-6200.

Where is Dr. Lopez located?

24185 Us Highway 27, Lake Wales, FL 33859-7819.

What is the taxonomy code for Dr. Lopez?

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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