| Apopka Endodontics | |
|
660 Executive Park Ct Ste 1600 Apopka FL 32703-6080 | |
| (407) 930-4496 | |
| (407) 930-4497 |
| Full Name | Apopka Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 660 Executive Park Ct Ste 1600, Apopka, Florida |
| Authorized Official Name and Position | Ericka Ferguson (OWNER) |
| Authorized Official Contact | 4079304496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apopka Endodontics 660 Executive Park Ct Ste 1600 Apopka FL 32703-6080 Ph: (407) 930-4496 | Apopka Endodontics 660 Executive Park Ct Ste 1600 Apopka FL 32703-6080 Ph: (407) 930-4496 |
| NPI Number | 1083091342 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 07/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083091342 | NPI | - | NPPES |
| 023026500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN17256 (Florida) | Primary |
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