Manne & Borer Endodontics and Microsurgery PL

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN15628 Issued in FL

Legal business name

MANNE & BORER ENDODONTICS AND MICROSURGERY PL

Practice address

150 Sagebrush TRL
Ormond Beach, FL 32174-8102

Phone

(386) 676-0705

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robert BorerNPI 1992918767

Title

Co-Owner

Phone

(386) 676-0705

Specialties & licenses 1

Addresses

Tax ID family

Manne Borer Endodontics and Microsurgery PL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Manne & Borer Endodontics and Microsurgery PL

  • Endodontics
  • Palm Coast, FL
  • NPI 1700330099
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert E Borer, D.M.D.

  • Endodontics
  • Ormond Beach, FL
  • NPI 1992918767
  NPD (past) Authorized official
• Bruce D Manne, DMD

  • Endodontics
  • Ormond Beach, FL
  • NPI 1811100514
  NPD (past)

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1063863124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SAGEBRUSH TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748102",
            "telephone_number": "386-676-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAGEBRUSH TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748102",
            "telephone_number": "386-676-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNE & BORER ENDODONTICS AND MICROSURGERY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "BORER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "386-676-0705",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN15628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Sweeney DC LLC
• Courtney Mahairas, LMHC, BCBA
• Brenda Lee Mahon, OTD/OTR
• Michael Kevin Makowski, MD
• Patricia Makris, PT
• Bruce D Manne, DMD
• Jennifer Manousakis
• Marandino Schargen Chiropractic, P.a.
• Marcie Marandino, D.C.
• Enzo Marchese, EMT

• Endodontics in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.