ORLANDO ENDODONTIC SPECIALISTS SOUTH (NPI# 1659638484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659638484 |
| Entity Type | Organization |
| Organization Name | ORLANDO ENDODONTIC SPECIALISTS SOUTH |
| Practice Address |
610 N Mills Ave 210 Orlando FL 32803-7119 |
| Mailing Address |
1956 E Osceola Pkwy Kissimmee FL 34743-8626 |
| Practice Telephone | 4074237667 |
| Mailing Telephone | 4075819500 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | MARIE DIAZ (INSURANCE FRONT DESK) |
| Authorized Official Telephone | 4074237667 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORLANDO ENDODONTIC SPECIALISTS SOUTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN14384 | FL | Dental Providers |
| Street Address |
610 N MILLS AVE 210 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-7119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114990470 | Wilbur M Davis Jr. | Dentist | 610 N Mills Ave, Ste 100, Orlando, FL 32803-7119 | 2006-02-08 |
| 1588078877 | Oral Surgery Center of Central Florida LLC | Dentist | 610 N Mills Ave, Ste 100, Orlando, FL 32803-7119 | 2014-06-16 |
| 1821264409 | Orlando Endodontic Specialists, P.a. | Dentist | 610 N Mills Ave, Ste 210, Orlando, FL 32803-7119 | 2008-05-05 |
| 1295956183 | Yvonne M Rausch | Dentist | 610 N Mills Ave, Suite 200, Orlando, FL 32803-7119 | 2007-05-01 |
| 1174627343 | Aaron E Isler | Dentist | 610 N Mills Ave, 210, Orlando, FL 32803-7119 | 2006-09-11 |
| 1518076165 | Timothy Temple | Dentist | 610 N Mills Ave, 210, Orlando, FL 32803-7119 | 2006-08-29 |
| 1053365338 | Central Florida Oral & Maxillofacial Surgery | Dentist | 610 N Mills Ave, Suite 100, Orlando, FL 32803-7119 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| 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 |
|---|---|---|---|---|
| 1538628219 | Lake Nona Endodontics Pa | Dentist | 13571 Narcoossee Road, Orlando, FL 32832 | 2019-03-13 |
| 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 |
| 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.