Provider Demographics
NPI:1699295261
Name:ADVANCED ENDODONTIC SOLUTIONS OF FLORIDA PA
Entity type:Organization
Organization Name:ADVANCED ENDODONTIC SOLUTIONS OF FLORIDA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:SAINSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-720-1500
Mailing Address - Street 1:7737 N. UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321
Mailing Address - Country:US
Mailing Address - Phone:954-720-1500
Mailing Address - Fax:954-720-5464
Practice Address - Street 1:7737 N. UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 204
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321
Practice Address - Country:US
Practice Address - Phone:954-720-1500
Practice Address - Fax:954-720-5464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-23
Last Update Date:2017-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17729261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental