| Pristine Endodontics | |
|
96 Willard St Suite 103 Cocoa FL 32922-7991 | |
| (321) 208-7979 | |
| Not Available |
| Full Name | Pristine Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 96 Willard St, Cocoa, Florida |
| Authorized Official Name and Position | Annapurna Sridher Deshpande (PRESIDENT) |
| Authorized Official Contact | 7038992996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pristine Endodontics 96 Willard St Suite 103 Cocoa FL 32922-7991 Ph: (321) 208-7979 | Pristine Endodontics 96 Willard St Suite 103 Cocoa FL 32922-7991 Ph: (321) 208-7979 |
| NPI Number | 1700211935 |
|---|---|
| Provider Enumeration Date | 09/06/2013 |
| Last Update Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700211935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN18946 (Florida) | Primary |
J.dieter Burr, Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6825 N Highway 1, Cocoa, FL 32927 Phone: 321-631-2111 | |
Gerald W. Bird, D.m.d., P.a. Dental Clinic Medicare: Medicare Enrolled Practice Location: 96 Willard St, Suite 105, Cocoa, FL 32922 Phone: 321-631-7000 Fax: 321-631-5135 | |
B&j-oms, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Willard St Ste 105, Cocoa, FL 32922 Phone: 321-291-5196 |