Organization
PENSACOLA ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M LYONS DMD (ENDODONTIST)
(850) 696-2401
Entity
Organization
Contact information
Practice address
3298 SUMMIT BLVD, SUITE 24, PENSACOLA, FL 32503-8318
(850) 696-2401
(850) 332-6561
Mailing address
3298 SUMMIT BLVD, SUITE 24, PENSACOLA, FL 32503-8318
(850) 696-2401
(850) 332-6561
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
14371
FL
1223E0200X
Endodontics
Primary
15043
FL
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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