ORLANDO ENDODONTIC SPECIALISTS-EAST (NPI# 1396060430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396060430 |
Entity Type | Organization |
Organization Name | ORLANDO ENDODONTIC SPECIALISTS-EAST |
Practice Address |
12301 Lake Underhill Rd Ste 107 Orlando FL 32828-4508 |
Mailing Address |
610 N Mills Ave Ste 210 Orlando FL 32803-7119 |
Practice Telephone | 4075819515 |
Practice Fax Number | 4075819520 |
Mailing Telephone | 4074237667 |
Mailing Fax Number | 4074258629 |
Enumeration Date | 2010-04-01 |
Last Update Date | 2010-04-01 |
Authorized Official Name | SUSIE BOBO (OFFICE MANAGER) |
Authorized Official Telephone | 4075819505 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN14384 | FL | Dental Providers |
Street Address |
12301 LAKE UNDERHILL RD STE 107 |
City | ORLANDO |
State | FL |
Zip Code | 32828-4508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174513121 | Natasha A. Carby-joseph | Speech-Language Pathologist | 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 | 2005-10-21 |
1801364575 | Pharma Hair Unit LLC | Specialist | 12301 Lake Underhill Rd, Orlando, FL 32828-4508 | 2018-11-11 |
1356825061 | Frances L Febo Mendez | Specialist/Technologist | 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 | 2018-09-18 |
1023528817 | Lauren Howard Sobel | Physical Therapist | 12301 Lake Underhill Rd, Orlando, FL 32828-4508 | 2017-10-05 |
1629525480 | Coral Etshman | Nurse Practitioner | 12301 Lake Underhill Rd, Orlando, FL 32828-4508 | 2016-09-08 |
1679945679 | Therapy Essentials Inc | Early Intervention Provider Agency | 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 | 2015-10-29 |
1427429109 | Michelle Chacon | Speech-Language Pathologist | 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 | 2015-10-07 |
1285026310 | Respiratory Kinect, Inc | Home Health | 12301 Lake Underhill Rd, Suite 265, Orlando, FL 32828-4508 | 2015-02-26 |
1093110660 | 22 Health Group, LLC | Chiropractor | 12301 Lake Underhill Rd, Suite 254, Orlando, FL 32828-4508 | 2014-10-25 |
1194134916 | Interventional Spine Institute of Florida | Physical Medicine & Rehabilitation | 12301 Lake Underhill Rd, Suite 121, Orlando, FL 32828-4508 | 2014-08-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578057501 | Antonia Mejia | Social Worker | 15260 Sugargrove Way, Orlando, FL 32828 | 2018-06-22 |
1871087692 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3502 Avalon Park East Blvd, Orlando, FL 32828 | 2018-06-15 |
1386169738 | Ashley Nicole Wilkins | Specialist/Technologist | 2653 Wembleycross Way, Orlando, FL 32828 | 2017-08-07 |
1558812388 | Porta Nova Homemaker Companion Services, LLC | In Home Supportive Care | 515 Spring River Drive, Orlando, FL 32828 | 2016-10-17 |
1467908715 | Alexander Duque | Dentist | 785 N Alafaya Trail, Orlando, FL 32828 | 2016-08-28 |
1568819886 | Nicole Kircher | Behavioral Analyst | 757 Sterling Springs Rd, Orlando, FL 32828 | 2016-05-17 |
1477908556 | Sandra Maria Garcia | Speech-Language Pathologist | 4961 Atwood Dr, Orlando, FL 32828 | 2016-04-26 |
1821473380 | Sandra Ware | Physical Therapy Assistant | 498 Palm Springs Dr, Ste 345, Orlando, FL 32828 | 2015-07-27 |
1649674367 | Lisa M Keough | Occupational Therapist | 447 Bella Vida Blvd., Creative Speech Solutions & Therapy, Orlando, FL 32828 | 2014-10-09 |
1336549781 | Melissa Cossu | Developmental Therapist | 14428 Turning Leaf Dr, Orlando, FL 32828 | 2014-09-03 |
Find all providers in zip 32828 |
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 |
---|---|---|---|---|
1538628219 | Lake Nona Endodontics Pa | Dentist | 13571 Narcoossee Road, Orlando, FL 32832 | 2019-03-13 |
1629520341 | Alexander Raiken | Dentist | 899 N Orange Ave Apt 501, Orlando, FL 32801 | 2016-10-28 |
1306097837 | Frances Ballagas | Dentist | 2125 Portlight Dr Unit 101, Orlando, FL 32814-6951 | 2008-10-02 |
1245368711 | William John Aippersbach | Dentist | 610 N Mills Ave Ste 210, Orlando, FL 32803-7113 | 2007-02-28 |
1366537151 | Keith G Kanter | Dentist | 4861 South Orange Ave, Ste C, Orlando, FL 32806 | 2006-10-04 |
1619060217 | Brad A Lipkin | Dentist | 610 N Mills Ave Suite 210, Orlando, GA 32803 | 2006-10-02 |
1659638484 | Orlando Endodontic Specialists South | Dentist | 610 N Mills Ave, 210, Orlando, FL 32803-7119 | 2012-04-18 |
1790008415 | Mark Andrew Goldberg | Dentist | 1603 S Hiawassee Rd, Suite 135, Orlando, FL 32835-6438 | 2010-03-09 |
1821264409 | Orlando Endodontic Specialists, P.a. | Dentist | 610 N Mills Ave, Ste 210, Orlando, FL 32803-7119 | 2008-05-05 |
1669661153 | Mauricio Chavarriaga | Dentist | 10800 Dylan Loren Cir, Ste 103, Orlando, FL 32825-4437 | 2007-10-19 |
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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.