Your Endodontic Specialist, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN 17788 Issued in FL

Legal business name

YOUR ENDODONTIC SPECIALIST, PA

Practice address

24820 Burnt Pine Dr
Suite 3
Bonita Springs, FL 34134-2028

Phone

(239) 676-1079

NPI assigned

Apr 14, 2016

Organization subpart

No

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

Authorized official

Name

Scott T Baur, PHD, DMD

Title

Owner

Phone

(813) 313-6591

Specialties & licenses 1

Addresses

Other names 1

• Your Endodontic Specialist Doing business as

Locations

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1134573207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24820 BURNT PINE DR",
            "address_2": "SUITE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341342028",
            "telephone_number": "239-676-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24820 BURNT PINE DR",
            "address_2": "SUITE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341342028",
            "telephone_number": "239-676-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR ENDODONTIC SPECIALIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "BAUR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-313-6591",
        "authorized_official_credential": "PHD, DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 17788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Endodontic Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• XD Dental Inc
• Karen Anne Yale, DC
• Venkata R. Yerramilli, M.D.
• Victoria L Yorke, MD.
• Renee Young, MS, LMHC
• Your Nurse Champions
• Laith Yousif, D.D.S.
• Lucinda Zagnoli, MT, MHC
• Maximus Sam Zand, DMD
• Angelo Joseph Zappala, DO

• Dental Clinic/Center in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.