Provider Demographics
NPI:1962299180
Name:SUNRISE ENDODONTICS AND MCROSURGERY
Entity type:Organization
Organization Name:SUNRISE ENDODONTICS AND MCROSURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLORE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:941-525-6931
Mailing Address - Street 1:231 WHITE OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32409-2370
Mailing Address - Country:US
Mailing Address - Phone:941-525-6931
Mailing Address - Fax:
Practice Address - Street 1:78 LYNN DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-4200
Practice Address - Country:US
Practice Address - Phone:941-525-6931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty