Provider Demographics
NPI:1952045577
Name:ENDODONTICS 2 PLLC
Entity Type:Organization
Organization Name:ENDODONTICS 2 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIIELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:PEINADO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:904-207-7700
Mailing Address - Street 1:320 TOWN PLAZA AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA
Mailing Address - State:FL
Mailing Address - Zip Code:32081-5166
Mailing Address - Country:US
Mailing Address - Phone:904-207-7002
Mailing Address - Fax:
Practice Address - Street 1:320 TOWN PLAZA AVE STE 140
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA
Practice Address - State:FL
Practice Address - Zip Code:32081-5166
Practice Address - Country:US
Practice Address - Phone:904-207-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty