Provider Demographics
NPI:1922252386
Name:ENDODONTICS UNLIMITED PA
Entity Type:Organization
Organization Name:ENDODONTICS UNLIMITED PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SLINGBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-961-3636
Mailing Address - Street 1:2221 N UNIVERSITY DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3603
Mailing Address - Country:US
Mailing Address - Phone:954-961-3636
Mailing Address - Fax:954-961-8107
Practice Address - Street 1:2221 N UNIVERSITY DR
Practice Address - Street 2:SUITE D
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3603
Practice Address - Country:US
Practice Address - Phone:954-961-3636
Practice Address - Fax:954-961-8107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14947261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental