Lake Nona Endodontics PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

LAKE NONA ENDODONTICS PA

Doing business as

Advanced Endodontics

Practice address

13571 Narcoossee Road
Orlando, FL 32832

Phone

(407) 574-4271

Fax

(407) 674-2539

NPI assigned

Mar 13, 2019

Last updated

Jan 22, 2020By 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

Amber Mae Perry

Title

Financial Director

Phone

(321) 204-6471

Specialties & licenses 1

Addresses

Other names 1

• Advanced Endodontics Doing business as

Locations

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1538628219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 STIRLING CENTER PL STE 1701",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465712",
            "telephone_number": "407-574-2539",
            "fax_number": "407-674-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13571 NARCOOSSEE ROAD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832",
            "telephone_number": "407-574-4271",
            "fax_number": "407-674-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NONA ENDODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "321-204-6471"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Eola Dental, Inc.
• Lake Family Practice
• Lake Nona Behavioral Health Services
• Lake Nona Dental Group PLC
• Lake Nona Emergency Physicians LLC
• Lake Nona Eye Care, LLC
• Lake Nona Inpatient Services LLC
• Lake Nona Medical Services
• Lake Nona Ophthalmology PL
• Lake Nona Psychiatric Associates, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.