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PC Endo South PA

Dentist, Endodontics in Clermont, FL. Organization (NPI-2).

NPI number1013402007
StatusActive
Last updated in NPPESOct 5, 2021

Details

NPI
1013402007
Entity type
Organization (NPI-2)
Legal business name
PC Endo South PA
Organization subpart
No
Enumeration date
Jun 22, 2018
Certification date
Oct 5, 2021
Last updated
Oct 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, Endodontics––Yes

Other names

  • Advanced Endodontics (Doing Business As)

Practice location

1471 Johns Lake Rd Ste 1
Clermont, FL 34711-7005

Phone 321-204-6471 · Fax 407-674-2539

Mailing address

1471 Johns Lake Rd Ste 1
Clermont, FL 34711-7005

Phone 321-204-6471 · Fax 407-674-2539

Authorized official

Lindsay Smock
Director Of Operations
3524045550

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Other Endodontics providers in Clermont, FL

All 7 Endodontics providers in Clermont · All 2,827 providers in Clermont

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