LAKE NONA ENDODONTICS PA (NPI# 1538628219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538628219 |
| Entity Type | Organization |
| Organization Name | LAKE NONA ENDODONTICS PA |
| Practice Address |
13571 Narcoossee Road Orlando FL 32832 |
| Mailing Address |
743 Stirling Center Pl Ste 1701 Lake Mary FL 32746-5712 |
| Practice Telephone | 4075744271 |
| Practice Fax Number | 4076742539 |
| Mailing Telephone | 4075742539 |
| Mailing Fax Number | 4076742539 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | AMBER MAE PERRY (FINANCIAL DIRECTOR) |
| Authorized Official Telephone | 3212046471 |
| 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 |
13571 NARCOOSSEE ROAD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933545 | Premier Oral & Facial Surgery | Dentist | 13571 Narcoossee Road, Orlando, FL 32832-6952 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1942819495 | Oasis Counseling Services | Community/Behavioral Health | 11954 Narcoossee Rd., Ste 2 #278, Orlando, FL 32832 | 2020-07-29 |
| 1235697707 | Pediatric Dental Group, LLC | Dentist | 12601 Narcoossee Rd, Unite 100a, Orlando, FL 32832 | 2019-03-04 |
| 1518451343 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13072 Narcoossee Rd, Orlando, FL 32832 | 2018-06-15 |
| 1356834345 | Cachae Cierra Mason | Clinic/Center | 9412 Randal Park Blvd, Unit 6127, Orlando, FL 32832 | 2018-06-13 |
| 1598258832 | Magda Liliana Sanchez | Behavior Technician | 14046 Millington St, Orlando, FL 32832 | 2018-06-12 |
| 1982106423 | Grace-ann Lewis | Behavior Technician | 10920 Moss Park Road Suite 100, Orlando, FL 32832 | 2018-03-01 |
| 1427574151 | Nona Dentists, Pa | Dentist | 12711 Narcoossee Rd, Building B, Suite 100, Lake Nona, Orlando, FL 32832 | 2017-08-15 |
| 1578084281 | Crispus Nyambariga Ombui | Nurse Anesthetist, Certified Registered | 9452 Randal Park Blvd, Unit 2-2126, Orlando, FL 32832 | 2017-07-03 |
| 1124567086 | Nilda Rivera | Counselor | 10200 Dwell Nona Place, Apt 109, Orlando, FL 32832 | 2017-02-13 |
| Find all providers in zip 32832 | ||||
| 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 |
|---|---|---|---|---|
| 1629520341 | Alexander Raiken | Dentist | 899 N Orange Ave Apt 501, Orlando, FL 32801 | 2016-10-28 |
| 1306097837 | Frances Ballagas | Dentist | 2125 Portlight Dr Unit 101, Orlando, FL 32814-6951 | 2008-10-02 |
| 1245368711 | William John Aippersbach | Dentist | 610 N Mills Ave Ste 210, Orlando, FL 32803-7113 | 2007-02-28 |
| 1366537151 | Keith G Kanter | Dentist | 4861 South Orange Ave, Ste C, Orlando, FL 32806 | 2006-10-04 |
| 1619060217 | Brad A Lipkin | Dentist | 610 N Mills Ave Suite 210, Orlando, GA 32803 | 2006-10-02 |
| 1659638484 | Orlando Endodontic Specialists South | Dentist | 610 N Mills Ave, 210, Orlando, FL 32803-7119 | 2012-04-18 |
| 1396060430 | Orlando Endodontic Specialists-east | Dentist | 12301 Lake Underhill Rd, Ste 107, Orlando, FL 32828-4508 | 2010-04-01 |
| 1790008415 | Mark Andrew Goldberg | Dentist | 1603 S Hiawassee Rd, Suite 135, Orlando, FL 32835-6438 | 2010-03-09 |
| 1821264409 | Orlando Endodontic Specialists, P.a. | Dentist | 610 N Mills Ave, Ste 210, Orlando, FL 32803-7119 | 2008-05-05 |
| 1669661153 | Mauricio Chavarriaga | Dentist | 10800 Dylan Loren Cir, Ste 103, Orlando, FL 32825-4437 | 2007-10-19 |
| Find all providers in ORLANDO | ||||
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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.