Tallahassee Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

TALLAHASSEE ENDODONTICS

Practice address

1348 Timberlane Rd
Tallahassee, FL 32312-1766

Phone

(850) 878-5131

NPI assigned

Dec 5, 2019

Last updated

Dec 5, 2019By 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

Dylan Tidwell

Title

Office Manager

Phone

(850) 878-5131

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Alexander Simon, D.M.D.

  • Endodontics
  • Tallahassee, FL
  • NPI 1265590129
  NPD

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1851938153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 TIMBERLANE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121766",
            "telephone_number": "850-878-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 TIMBERLANE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121766",
            "telephone_number": "850-878-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-878-5131"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tallahassee Diagnostic Imaging Center, LTD
• Tallahassee Diagnostic Imaging LTD
• Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.a.
• Tallahassee Endocrine Associates
• Tallahassee Endocrinology and Diabetes Clinic LLC
• Tallahassee Endoscopy Center Inc
• Tallahassee Enhanced Care PA
• Tallahassee Facial Pain Center PA
• Tallahassee Facility Operations LLC (Tallahassee Living Center)
• Tallahassee Family Clinic, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.