Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jill Edwards Ata, DMD

Individual provider Dentist · NPI 1699901165

Dr. Jill Edwards Ata, DMD is a Dentist in Kissimmee, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3192 S John Young Pkwy Ste B
Kissimmee, FL 34746-8814
Phone: (407) 870-5151
Fax: (407) 870-2556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN18675 (FL)

Record details

NPI number1699901165
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 10, 2009
Last updated in NPPESJune 10, 2009

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