ENDODONTRIC SPECIALTY GROUP, LLC (NPI# 1982762613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982762613 |
| Entity Type | Organization |
| Organization Name | ENDODONTRIC SPECIALTY GROUP, LLC |
| Practice Address |
3 Sw 129th Ave Ste 205 Pembroke Pines FL 33027 |
| Practice Telephone | 9544384282 |
| Practice Fax Number | 9544426511 |
| Mailing Telephone | 9544384282 |
| Mailing Fax Number | 9544426511 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | DR. EDWARD RONALD KIRSH (OWNER) |
| Authorized Official Telephone | 9544384282 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
3 SW 129TH AVE STE 205 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912082868 | Edward Ronald Kirsh | Dentist | 3 Sw 129th Ave, Ste 205, Pembroke Pines, FL 33027 | 2006-10-26 |
| 1427500610 | Endo Group Pllc | Dentist | 3 Sw 129th Ave, Ste 205, Pembroke Pines, FL 33027-1775 | 2016-11-04 |
| 1811310980 | Jose D Dominguez Dds Pa | Dentist | 3 Sw 129th Ave, Suite 210, Pembroke Pines, FL 33027-1775 | 2014-01-27 |
| 1952736928 | Phoenix Surgery Center, LLC | Clinic/Center | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1775 | 2013-09-10 |
| 1447696307 | Beautiful Vision Pllc | Clinic/Center | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1775 | 2013-05-20 |
| 1225387855 | Rma of Pembroke Pines LLC | Internal Medicine | 3 Sw 129th Ave, Suite 101, Pembroke Pines, FL 33027-1775 | 2012-08-29 |
| 1922384098 | Juan D Vidal | Physician Assistant | 3 Sw 129th Ave, Pembroke Pines, FL 33027-1775 | 2011-11-02 |
| 1922297191 | David Bencomo | Internal Medicine | 3 Sw 129th Ave, Pembroke Pines, FL 33027-1775 | 2007-10-23 |
| 1992838304 | Jose Dumergue Dominguez | Dentist | 3 Sw 129th Ave, Suite 210, Pembroke Pines, FL 33027-1775 | 2007-03-14 |
| 1790837011 | Francesann Ford | Ophthalmology | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1775 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| 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 |
|---|---|---|---|---|
| 1669932844 | Sean Donovan Mccall | Dentist | 2221 N University Dr Ste D, Pembroke Pines, FL 33024-3603 | 2019-03-22 |
| 1912082868 | Edward Ronald Kirsh | Dentist | 3 Sw 129th Ave, Ste 205, Pembroke Pines, FL 33027 | 2006-10-26 |
| 1235243189 | Ivan Pelton | Dentist | 12558 Pines Blvd, Pembroke Pines, FL 33027-1713 | 2006-08-18 |
| 1003832528 | Joel Brian Slingbaum | Dentist | 2221 N University Dr, Suite D, Pembroke Pines, FL 33024-3603 | 2006-07-15 |
| 1669967816 | Lauren Tink | Dentist | 10430 Pines Blvd Ste C103, Pembroke Pines, FL 33026-6049 | 2018-06-28 |
| 1427500610 | Endo Group Pllc | Dentist | 3 Sw 129th Ave, Ste 205, Pembroke Pines, FL 33027-1775 | 2016-11-04 |
| 1639560543 | Fredericka Salbo | Dentist | 2221 N University Dr, Pembroke Pines, FL 33024-3603 | 2015-02-13 |
| 1154694891 | Pembroke Dental Associates | Dentist | 12251 Taft St, Suite 404, Pembroke Pines, FL 33026-1901 | 2012-02-10 |
| 1205167673 | Timur A Sekercioglu | Dentist | 18044 Nw 6th St, Suite 103, Pembroke Pines, FL 33029-2824 | 2010-01-24 |
| 1013164060 | Laura Gonzalez D.m.d, P.a. | Dentist | 500 N Hiatus Rd, Suite 109, Pembroke Pines, FL 33026-5213 | 2008-08-21 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33027 |
Please comment or provide details below to improve the information on ENDODONTRIC SPECIALTY GROUP, LLC.
| 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.