PENSACOLA ENDODONTICS LLC (NPI# 1255567715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255567715 |
| Entity Type | Organization |
| Organization Name | PENSACOLA ENDODONTICS LLC |
| Practice Address |
3298 Summit Blvd Suite 24 Pensacola FL 32503-8318 |
| Practice Telephone | 8506962401 |
| Practice Fax Number | 8503326561 |
| Mailing Telephone | 8506962401 |
| Mailing Fax Number | 8503326561 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |
| Authorized Official Name | MR. THOMAS M LYONS (ENDODONTIST) |
| Authorized Official Telephone | 8506962401 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
14371 | FL | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
15043 | FL | Dental Providers |
| Street Address |
3298 SUMMIT BLVD SUITE 24 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-8318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926474 | Crawford Haralson Cleveland | Allergy & Immunology | 3298 Summit Blvd, Suite 40, Pensacola, FL 32503-8318 | 2005-07-19 |
| 1699210443 | Crawford Cleveland, Md | Allergy & Immunology | 3298 Summit Blvd, Suite 40, Pensacola, FL 32503-8318 | 2017-01-04 |
| 1770971863 | Integrative Wound Care Solutions, LLC | Family Medicine | 3298 Summit Blvd, 39, Pensacola, FL 32503 | 2014-12-26 |
| 1629229042 | Lanway H Ling Md LLC | Family Medicine | 3298 Summit Blvd, Suite 39, Pensacola, FL 32503-8318 | 2008-10-03 |
| 1154548311 | Tyra Loriz | Dentist | 3298 Summit Blvd, 49, Pensacola, FL 32503-8318 | 2007-04-19 |
| 1497892731 | Access Behavioral Health | Health Maintenance Organization | 3298 Summit Blvd, Suite 12, Pensacola, FL 32503-8318 | 2007-01-30 |
| 1710046735 | Kathy Keough Bosso | Dentist | 3298 Summit Blvd, Suite 10, Pensacola, FL 32503-8318 | 2006-12-06 |
| 1265507586 | Kim Underwood Jernigan | Dentist | 3298 Summit Blvd, #10, Pensacola, FL 32503 | 2006-11-21 |
| 1114001898 | Scott G Scheurich | Dentist | 3298 Summit Blvd, Suite # 6, Pensacola, FL 32503-8318 | 2006-10-25 |
| 1316053358 | Nicholas Delgado | Family Medicine | 3298 Summit Blvd, Ste 16, Pensacola, FL 32503 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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 |
|---|---|---|---|---|
| 1407058134 | Thomas Lyons Jr. | Dentist | 3298 Summit Blvd Ste 39, Pensacola, FL 32503-4350 | 2007-06-04 |
| 1356409262 | Mark Steven Denunzio | Dentist | 6111 N Davis Hwy Ste B, Pensacola, FL 32504-6913 | 2006-12-04 |
| 1730258393 | Stephen Haines Speck Sr. | Dentist | 6470 Tippin Ave, Pensacola, FL 32504 | 2006-11-07 |
| 1376553495 | Bruce K Felder | Dentist | 3000 Langley Ave, Suite 100, Pensacola, FL 32504-4700 | 2006-08-09 |
| 1275163099 | Elite Endodontics | Dentist | 6111 N Davis Hwy Ste B, Pensacola, FL 32504-6913 | 2020-01-21 |
| 1992357289 | Seabreeze Endodontics Pensacola Pa | Dentist | 9013 University Pkwy Ste H, Pensacola, FL 32514-9421 | 2019-07-16 |
| 1265825889 | Speck Endodontics, LLC | Dentist | 6470 Tippin Ave, Pensacola, FL 32504-8143 | 2015-03-05 |
| 1366834905 | Peter J. Congiundi, Dds, Pa | Dentist | 6470 Tippin Ave, Pensacola, FL 32504-8143 | 2015-02-18 |
| 1891957197 | Steven Joshua Todd | Dentist | 6111 N Davis Hwy Ste B, Pensacola, FL 32504-6913 | 2008-06-27 |
| 1407027238 | Peter Joseph Congiundi | Dentist | 6470 Tippin Ave, Pensacola, FL 32504-8143 | 2008-03-19 |
| Find all providers in PENSACOLA | ||||
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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.