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Contact Information

ADVANCED ENDODONTIC CENTER LLC
PLAZA TROPICAL #11
CARR 167 KM. 22.2
BAYAMON, PR00959
 Phone: 787-641-1340
 Fax: 787-641-0804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Periodontics

1223P0300X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for ADVANCED ENDODONTIC CENTER LLC · (Female)

NPI Number 1720751548
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2021
Last updated 06/04/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • PR Medicaid 039141802
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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