ADVANCED ENDODONTICS OF WINTER PARK, PA (NPI# 1417587130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417587130 |
| Entity Type | Organization |
| Organization Name | ADVANCED ENDODONTICS OF WINTER PARK, PA |
| Other Organization Name | ADVANCED ENDODONTICS |
| Practice Address |
400 W Morse Blvd Ste 102 Winter Park FL 32789-4259 |
| Mailing Address |
743 Stirling Center Pl Ste 1701 Lake Mary FL 32746-5712 |
| Practice Telephone | 4075744271 |
| Practice Fax Number | 4076742539 |
| Mailing Telephone | 4075744271 |
| Mailing Fax Number | 4076742539 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | AMBER PERRY (CFO) |
| Authorized Official Telephone | 4075535532 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Endodontics | Doing Business As Name - Organization |
| Street Address |
400 W MORSE BLVD STE 102 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32789-4259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1295213692 | Ruth Stern | Counselor | 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 | 2018-07-30 |
| 1083128961 | Total Care Home Services of Usa, Corp. | In Home Supportive Care | 1936 Lee Rd Ste 120a, Winter Park, FL 32789 | 2017-11-30 |
| 1346753670 | Hand In Hand Home Care Solutions, LLC | Nursing Care | 2233 Lee Rd, Ste 209, Winter Park, FL 32789 | 2017-11-08 |
| 1932621877 | Alexandra Nichole Paden | Homemaker | 941 W. Morse Blvd. #100, Winter Park, FL 32789 | 2017-07-12 |
| 1093258048 | Embracing Balance Counseling Solutions, LLC | Community/Behavioral Health | 320 Grove Avenue, Winter Park, FL 32789 | 2016-11-23 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1952850943 | Lena Partynska Dinh | Physical Therapist | 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 | 2016-10-01 |
| 1003363573 | Meagin Knight Stephenson | Occupational Therapist | 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 | 2016-09-01 |
| 1093261679 | Bronte Green | Physical Therapist | 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 | 2016-09-01 |
| Find all providers in zip 32789 | ||||
| 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 |
|---|---|---|---|---|
| 1033533203 | Endodontic Associates of Orlando, P.a. | Dentist | 2001 Lee Rd Ste A, Winter Park, FL 32789-1871 | 2014-02-09 |
| 1770692329 | David M Burch | Dentist | 400 W Morse Blvd, Suite 102, Winter Park, FL 30789-4261 | 2006-08-29 |
| 1437406527 | Kiran Sreekantaiah | Dentist | 3727 N Goldenrod Rd Ste 108, Winter Park, FL 32792-8611 | 2012-08-08 |
| 1295028223 | Towncare Dental of Winter Park, P.a. | Dentist | 1713 W Fairbanks Ave, Winter Park, FL 32789-4605 | 2011-05-24 |
| 1467650648 | James Rhett Baker | Dentist | 3727 N Goldenrod Rd Ste 108, Winter Park, FL 32792-8611 | 2007-07-10 |
| 1831278290 | Jiann-jang Wu | Dentist | 201 N Lakemont Ave, Suite 2400, Winter Park, FL 32792-3208 | 2006-11-03 |
| 1962511519 | Stephanie S Williams | Dentist | 400 W Morse Blvd, 102, Winter Park, FL 32789-4261 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1154935799 | Orbit Dental Management Pa | Dentist | 1453 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968 | 2020-09-01 |
| 1790397370 | Bruce D. Schulman, Dds Pa | Dentist | 10150 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3776 | 2020-08-17 |
| 1770117525 | Volusia Endodontics Pa | Dentist | 2751 Enterprise Rd Ste 211, Orange City, FL 32763-8262 | 2020-03-02 |
| 1699326603 | North Central Florida Endodontics,pllc | Dentist | 48 Se 16th Ave, Ocala, FL 34471-2521 | 2019-09-23 |
| 1396395919 | Stephen L. Goldfaden, Dds,pa | Dentist | 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 | 2019-09-16 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1497307987 | Bradley Sleeth | Dentist | 942 Goldridge Ct, Orange Park, FL 32065-6259 | 2019-07-15 |
| 1134781610 | Annika Marschall Dmd Pa | Dentist | 2425 Presidential Way Apt 1805, West Palm Beach, FL 33401-1321 | 2019-07-03 |
| Find all providers with the same taxonomy | ||||
| City | WINTER PARK |
| Zip Code | 32789 |
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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.