Clermont Endodontic Specialist, PA
NPI 1649668682ActiveOrganization· Dentist, Endodontics· Lakeland, FL
Dentist, Endodontics in Lakeland, Florida, registered in NPPES in December 2014, part of Clermont Endodontic Specialist, PA. The authorized official on file is Kendra Walker, Credentialing Coordinator.
Overview
| NPI | 1649668682 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Clermont Endodontic Specialist, PA |
| NPI issued | Dec 29, 2014 |
| Last updated in NPPES | Dec 29, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | DN19410 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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