LAKE FOREST ENDODONTICS PA NPI 1982225132

NPI Information

  • NPI: 1982225132
  • Provider Name: LAKE FOREST ENDODONTICS, PA
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • CLIA Number: 10D1000141
  • Address: 5264 W STATE ROAD 46
    UNIT C4
    SANFORD, FL
    ZIP 32771
  • Phone: (407) 577-3636

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NPI Details

LAKE FOREST ENDODONTICS, PA is an endodontics dentist in Sanford, FL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. LAKE FOREST ENDODONTICS, PA NPI is 1982225132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5264 W STATE ROAD 46
UNIT C4
SANFORD, FL
ZIP 32771
Phone: (407) 577-3636
Fax: (407) 317-4099

The provider's authorized official is Timothy J Temple .
The authorized official title is President and has the following contact phone number (407) 423-7667.

The CLIA number assigned to this NPI record is 10D1000141 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2020 and was last updated on 4/29/2020.

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
11223E0200XDentistEndodonticsYes

What is NPI?

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This page was last updated on: 11/21/2025

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