ENDODONTIC ASSOCIATES OF THE PALM BEACHES, P.A (NPI# 1083629141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083629141 |
| Entity Type | Organization |
| Organization Name | ENDODONTIC ASSOCIATES OF THE PALM BEACHES, P.A |
| Practice Address |
1501 Presidential Way Ste 7 West Palm Beach FL 33401-1852 |
| Practice Telephone | 5616841312 |
| Practice Fax Number | 5616840182 |
| Mailing Telephone | 5616841312 |
| Mailing Fax Number | 5616840182 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RORY E. MORTMAN (OWNER) |
| Authorized Official Telephone | 5616841312 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
13846 | FL | Dental Providers |
| Street Address |
1501 PRESIDENTIAL WAY STE 7 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134781610 | Annika Marschall Dmd Pa | Dentist | 2425 Presidential Way Apt 1805, West Palm Beach, FL 33401-1321 | 2019-07-03 |
| 1790889269 | Julie Ann Kennedy | Dentist | 1501 Presidential Way Ste 18, West Palm Beach, FL 33401-1852 | 2006-09-12 |
| 1144332701 | Dental Center At Forest Hill, Pa | Dentist | 3027 Forest Hill Blvd, Suite A-3, West Palm Beach, FL 33406 | 2006-08-31 |
| 1033224399 | Group Dental of The Palm Beaches Inc. | Dentist | 2601 N Flagler Dr Ste 101, West Palm Beach, FL 33407-5542 | 2006-08-20 |
| 1972545432 | Michael Brandon Elliott | Dentist | 321 8th St, West Palm Beach, FL 33401-3309 | 2006-06-11 |
| 1346457850 | Melvin Boner | Dentist | 1309 S Flagler Dr, West Palm Beach, FL 33401-6736 | 2007-05-16 |
| 1205967171 | Sang Y Shin | Dentist | 1501 Presidential Way, Ste #7, West Palm Beach, FL 33401-1800 | 2007-03-09 |
| 1720119639 | Rory E Mortman | Dentist | 1501 Presidential Way, Ste #7, West Palm Beach, FL 33401-1800 | 2007-03-09 |
| 1790816882 | Sunghee Ahn | Dentist | 1501 Presidential Way, Ste #7, West Palm Beach, FL 33401-1800 | 2007-03-08 |
| 1568513802 | Kenneth Thomas Riso | Dentist | 1857 N Military Trl, West Palm Beach, FL 33409-4715 | 2007-01-15 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
Please comment or provide details below to improve the information on ENDODONTIC ASSOCIATES OF THE PALM BEACHES, P.A.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.