OrganizationActive
PC Endo South PA
NPI 1013402007 · Endodontics · Clermont, FL
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
7 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.