Pensacola Endodontics LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

15043 Issued in FL

Legal business name

PENSACOLA ENDODONTICS LLC

Practice address

3298 Summit Blvd
Suite 24
Pensacola, FL 32503-8318

Phone

(850) 696-2401

Fax

(850) 332-6561

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas M Lyons, DMD

Title

Endodontist

Phone

(850) 696-2401

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1255567715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD",
            "address_2": "SUITE 24",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325038318",
            "telephone_number": "850-696-2401",
            "fax_number": "850-332-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD",
            "address_2": "SUITE 24",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325038318",
            "telephone_number": "850-696-2401",
            "fax_number": "850-332-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "850-696-2401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "14371",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "15043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.