OrganizationActive
PC Endo South PA
NPI 1013402007 · Endodontics · Clermont, FL
PC Endo South PA is a Endodontics organization in Clermont, FL (NPI 1013402007).
Provider details
- NPI number
- 1013402007
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Lindsay Smock, Director of Operations(352) 404-5550
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1471 Johns Lake Rd Ste 1
Clermont, FL 34711-7005
Phone: (321) 204-6471
Fax: (407) 674-2539
Street-level locationGet directions
Mailing address
1471 Johns Lake Rd Ste 1
Clermont, FL 34711-7005
Other names (DBA / former)
- Doing business as
- Advanced Endodontics
- Doing business as
- Advanced Endodontics
Registry dates
- Enumerated
- 2018-06-22
- Last updated
- 2021-10-05
- Certified
- 2021-10-05
Frequently asked questions
- What is PC Endo South PA's NPI number?
- PC Endo South PA's National Provider Identifier (NPI) is 1013402007, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is PC Endo South PA?
- PC Endo South PA is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is PC Endo South PA located?
- PC Endo South PA's practice location on file with NPPES is 1471 Johns Lake Rd Ste 1, Clermont, FL 34711-7005.
- What is PC Endo South PA's phone number?
- The practice phone number listed in the NPPES registry for PC Endo South PA is (321) 204-6471.
- Who is the authorized official for PC Endo South PA?
- The authorized official listed on PC Endo South PA's NPPES record is Lindsay Smock, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is PC Endo South PA's NPI active?
- Yes — PC Endo South PA's NPI (1013402007) is active in the NPPES registry as of the last update on 2021-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.