Organization Active NPI

Root Canal Specialist of Orlando LLC

  • Dental Clinic/Center
  • Orlando, FL
National Provider Identifier
1396669271
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROOT CANAL SPECIALIST OF ORLANDO LLC
Practice address
4861 S Orange Ave Ste C
Orlando, FL 32806-6949
Phone
(407) 604-4115
Fax
(407) 542-7463
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
James B Logsdon, D.D.S.
Title
Provider/Owner
Phone
(407) 890-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4861 S Orange Ave Ste C
Orlando, FL 32806-6949

Mailing address

4861 S Orange Ave Ste C
Orlando, FL 32806-6949
Phone (407) 604-4115

National Provider Directory

National Provider Directory

Locations

4861 S Orange Ave
Ste C
Orlando, FL 32806
Phone (305) 841-2996

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1396669271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 S ORANGE AVE STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066949",
            "telephone_number": "407-604-4115",
            "fax_number": "407-542-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 S ORANGE AVE STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066949",
            "telephone_number": "407-604-4115",
            "fax_number": "407-542-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT CANAL SPECIALIST OF ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "LOGSDON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "407-890-9116",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.