Provider Demographics
NPI:1063388742
Name:ENDODONTIC EXCELLENCE OF PA, P.C.
Entity type:Organization
Organization Name:ENDODONTIC EXCELLENCE OF PA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:INGRIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAPKUTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:484-761-1248
Mailing Address - Street 1:345 ABBY RD
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-8811
Mailing Address - Country:US
Mailing Address - Phone:267-902-9644
Mailing Address - Fax:
Practice Address - Street 1:1605 N CEDAR CREST BLVD STE 308
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2351
Practice Address - Country:US
Practice Address - Phone:484-761-1248
Practice Address - Fax:484-761-1298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty