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Mid-Florida Endodontics - Clermont, PLLC

NPI 1053106195ActiveOrganization· Dentist, Endodontics· Clermont, FL

Dentist, Endodontics in Clermont, Florida, registered in NPPES in April 2025. The authorized official on file is Alec David Du Lac, Office Admin.

Overview

NPI1053106195
StatusActive
Entity typeOrganization
NPI issuedApr 10, 2025
Last updated in NPPESApr 22, 2025
Certified by providerApr 22, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Endodontics Primary1223E0200X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, Endodontics providers in Clermont

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