Provider Demographics
NPI:1386447167
Name:ENDODONTIC ENDEAVORS PLLC
Entity type:Organization
Organization Name:ENDODONTIC ENDEAVORS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OBADAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS DSCD
Authorized Official - Phone:913-499-9600
Mailing Address - Street 1:912 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-1416
Mailing Address - Country:US
Mailing Address - Phone:682-237-4101
Mailing Address - Fax:
Practice Address - Street 1:2300 SH 114 HIGHWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:ROANOKE
Practice Address - State:TN
Practice Address - Zip Code:76262
Practice Address - Country:US
Practice Address - Phone:682-237-4101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty