# EDGEWATER ENDODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841560265
- **Authorized official:** HILDE RIORDAN (OFFICE MANAGER)
- **Authorized official phone:** (352) 688-7858

## Contact information

- **Practice address:** 5305 SPRING HILL DR, SPRING HILL, FL 34606-4558
- **Practice address phone:** (352) 688-7858
- **Practice address fax:** (352) 688-7816
- **Mailing address:** 5305 SPRING HILL DR, SPRING HILL, FL 34606-4558
- **Mailing address phone:** (352) 688-7858
- **Mailing address fax:** (352) 688-7816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DN17788 | FL | Yes |

## Other

- **Enumeration date:** 01/02/2012
- **Last updated:** 01/02/2012
