Pensacola Endodontics Llc | |
3298 Summit Blvd Suite 24 Pensacola FL 32503-8318 | |
(850) 696-2401 | |
(850) 332-6561 |
Full Name | Pensacola Endodontics Llc |
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Speciality | Dentist - Endodontics |
Location | 3298 Summit Blvd, Pensacola, Florida |
Authorized Official Name and Position | Thomas M Lyons (ENDODONTIST) |
Authorized Official Contact | 8506962401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pensacola Endodontics Llc 3298 Summit Blvd Suite 24 Pensacola FL 32503-8318 Ph: (850) 696-2401 | Pensacola Endodontics Llc 3298 Summit Blvd Suite 24 Pensacola FL 32503-8318 Ph: (850) 696-2401 |
NPI Number | 1255567715 |
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Provider Enumeration Date | 06/10/2009 |
Last Update Date | 06/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255567715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 14371 (Florida) | Secondary |
1223E0200X | Dentist - Endodontics | 15043 (Florida) | Primary |
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