YOUR ENDODONTIC SPECIALIST PA NPI 1134573207

NPI Information

NPI: 1134573207
Provider Name: YOUR ENDODONTIC SPECIALIST, PA

Doing Business As: YOUR ENDODONTIC SPECIALIST

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
24820 BURNT PINE DR
SUITE 3
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 676-1079
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YOUR ENDODONTIC SPECIALIST, PA is a dental clinic center in Bonita Springs, FL. YOUR ENDODONTIC SPECIALIST, PA NPI is 1134573207. The provider is registered as an organization entity type.
The provider Is Doing Business As Your Endodontic Specialist.

The provider's business location address is:

24820 BURNT PINE DR
SUITE 3
BONITA SPRINGS, FL
ZIP 34134-028
Phone: (239) 676-1079

The provider's authorized official is Scott T Baur .
The authorized official title is Owner and has the following contact phone number (813) 313-6591.

The enumeration date for this NPI number is 4/14/2016 and was last updated on 4/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DN 17788	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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