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Professional Endodontics Of Pinellas County PA

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

NPI number1811033111
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1811033111
Entity type
Organization (NPI-2)
Legal business name
Professional Endodontics Of Pinellas County PA
Organization subpart
No
Enumeration date
Jan 30, 2007
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, EndodonticsDN15522FLYes

Practice location

509 Pasadena Avenue South
St Petersburg, FL 33707

Phone 727-384-4255 · Fax 727-384-4264

Mailing address

509 Pasadena Avenue South
St Petersburg, FL 33707

Phone 727-384-4255 · Fax 727-384-4264

Authorized official

Margaret Helen Young
Owner
7273844255

Is something wrong?

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Other Endodontics providers in St Petersburg, FL

All 10 Endodontics providers in St Petersburg · All 8,700 providers in St Petersburg

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