Advanced Endodontics of Lake Mary

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ADVANCED ENDODONTICS OF LAKE MARY

Doing business as

Advanced Endodontics

Practice address

743 Stirling Center PL Ste 1701
Lake Mary, FL 32746-5712

Phone

(407) 574-4271

Fax

(407) 674-2539

NPI assigned

May 12, 2016

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

Cfo

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": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1548616113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 STIRLING CENTER PL",
            "address_2": "STE 1701",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465712",
            "telephone_number": "407-574-4271",
            "fax_number": "407-674-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 STIRLING CENTER PL STE 1701",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465712",
            "telephone_number": "407-574-4271",
            "fax_number": "407-674-2539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1974 State Road 44",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321688349",
            "country_code": "US",
            "telephone_number": "407-574-4271",
            "fax_number": "407-674-2539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED ENDODONTICS OF LAKE MARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "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": "CFO",
        "authorized_official_telephone_number": "321-204-6471"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Endodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Denise Adams, PHARMD
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• Monica Adhav
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• Advanced Pelvic Health Solutions LLC.
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• Endodontics in Lake Mary, FL
• Providers in Lake Mary, 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.