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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013405992

Edith Socorro Gonzalez Jaimes, DDS is a Student in an Organized Health Care Education/Training Program in Fredericksburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

121 Park Hill Dr Ste A
Fredericksburg, VA 22401
Phone: (540) 373-1660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401417411 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013405992
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 26, 2018
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing addressPo Box 4947, Glen Allen, VA 23058

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