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PC Endo South PA

NPI 1942689807ActiveOrganization· Dentist, Endodontics· Clermont, FL

Dentist, Endodontics in Clermont, Florida, registered in NPPES in May 2015. The authorized official on file is Amber Mae Perry, Cfo.

Overview

NPI1942689807
StatusActive
Entity typeOrganization
NPI issuedMay 26, 2015
Last updated in NPPESJan 22, 2020
Certified by providerJan 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Endodontics Primary1223E0200X——
Dentist, Periodontics1223P0300X——

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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