Endodontic Innovations is a Endodontics Clinic in Gibsonton, Florida. It is located at 13127 Kings Lake Dr, Suite 101, Gibsonton, FL and its contact number is 813-284-7958. The authorized person for Endodontic Innovations is Dr. Thai Vu Pham
who is Director of the clinic and their contact number is 813-802-6849. The primary license number for Endodontic Innovations is DN18558 (Endodontics) in Florida. Endodontic Innovations Clinic deals with the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Complete Clinic Profile:
Endodontic Innovations Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Endodontic Innovations
Specialization:
Endodontics
Clinic Address:
13127 Kings Lake Dr, Suite 101, Gibsonton, Florida, 33534-3958
Phone:
813-284-7958
Fax:
813-284-7959
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Thai Vu Pham
Position:
Director
Contact Number:
813-802-6849
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Endodontic Innovations clinic are as mentioned below.
NPI Number:
1174070361
NPI Enumeration Date:
06 Sep, 2016
NPI Last Update On:
26 Aug, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Endodontic Innovations are as mentioned below.
Specialization
License Number
State
Status
Endodontics
DN18558
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
017179500
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Endodontic Innovations 13127 Kings Lake Dr, Suite 101 Gibsonton, Florida
Zip:
33534-3958
Phone Number:
813-284-7958
Fax Number:
813-284-7959
Patients can reach Endodontic Innovations at 13127 Kings Lake Dr, Suite 101, Gibsonton, Florida or can call to book an appointment on 813-284-7958. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.