# LAKE NONA ENDODONTICS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538628219
- **Authorized official:** AMBER MAE PERRY (FINANCIAL DIRECTOR)
- **Authorized official phone:** (321) 204-6471

## Contact information

- **Practice address:** 13571 NARCOOSSEE ROAD, ORLANDO, FL 32832
- **Practice address phone:** (407) 574-4271
- **Practice address fax:** (407) 674-2539
- **Mailing address:** 743 STIRLING CENTER PL STE 1701, LAKE MARY, FL 32746-5712
- **Mailing address phone:** (407) 574-2539
- **Mailing address fax:** (407) 674-2539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2019
- **Last updated:** 01/22/2020