Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clermont Endodontic Specialist, PA

Organization Endodontics · NPI 1649668682

Clermont Endodontic Specialist, PA is an Endodontics in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3207 S Florida Ave
Lakeland, FL 33803-4550
Phone: (863) 937-9181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DN19410 (FL)

Record details

NPI number1649668682
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationClermont Endodontic Specialist, PA
Authorized official Kendra Walker — Credentialing Coordinator · (217) 540-8312
Other names Lakeland Endodontics
NPI enumeratedDecember 29, 2014
Last updated in NPPESDecember 29, 2014
Mailing address3207 S Florida Ave, Lakeland, FL 33803-4550

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