Provider Demographics
NPI:1326713652
Name:THE ENDODONTIC CENTER
Entity Type:Organization
Organization Name:THE ENDODONTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BAGINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-726-6651
Mailing Address - Street 1:4433 NAAMAN FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2722
Mailing Address - Country:US
Mailing Address - Phone:214-726-6651
Mailing Address - Fax:469-562-4187
Practice Address - Street 1:7557 RAMBLER RD STE 1465
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2321
Practice Address - Country:US
Practice Address - Phone:214-726-6651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty