Pensacola Edc Management LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PENSACOLA EDC MANAGEMENT LLC

Practice address

3101 W Michigan Ave Ste E
Pensacola, FL 32526-1876

Phone

(850) 792-1841

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Michael Obeng

Title

Owner

Phone

(402) 981-4136

Specialties & licenses 1

Addresses

Other names 1

• Emergency Dental Care USA Doing business as

Locations

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1225850993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1740",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680051740",
            "telephone_number": "402-658-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W MICHIGAN AVE STE E",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261876",
            "telephone_number": "850-792-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA EDC MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-981-4136"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental Care USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pensacola Endodontics LLC
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• Pensacola Family Dentistry Inc
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• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.