| Advanced Endodontics | |
|
1471 Johns Lake Rd Ste 1 Clermont FL 34711-7005 | |
| (321) 204-6471 | |
| (407) 674-2539 |
| Full Name | Advanced Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1471 Johns Lake Rd Ste 1, Clermont, Florida |
| Authorized Official Name and Position | Lindsay Smock (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3524045550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Endodontics 1471 Johns Lake Rd Ste 1 Clermont FL 34711-7005 Ph: (321) 204-6471 | Advanced Endodontics 1471 Johns Lake Rd Ste 1 Clermont FL 34711-7005 Ph: (321) 204-6471 |
| NPI Number | 1013402007 |
|---|---|
| Provider Enumeration Date | 06/22/2018 |
| Last Update Date | 10/05/2021 |
| Certification Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013402007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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