Endodontic Associates of Orlando, P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN15891 Issued in FL

Legal business name

ENDODONTIC ASSOCIATES OF ORLANDO, P.A.

Practice address

2001 Lee Rd Ste a
Winter Park, FL 32789-1871

Phone

(407) 647-2131

Fax

(407) 645-5161

NPI assigned

Feb 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sang Y Shin, DMD

Title

Endodontist/ Owner

Phone

(561) 543-6782

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391904000000",
    "number": "1033533203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8773 TALLY HO LN",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114541",
            "telephone_number": "561-543-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LEE RD STE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891871",
            "telephone_number": "407-647-2131",
            "fax_number": "407-645-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES OF ORLANDO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-02-09",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ENDODONTIST/ OWNER",
        "authorized_official_telephone_number": "561-543-6782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN15891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.