OrganizationActive
Advanced Endodontic Group
NPI 1205377488 · Endodontics · Miami Lakes, FL
Provider details
- NPI number
- 1205377488
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Ingrid Epelman Dorra, Owner(786) 488-0335
- License
- DN18918 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
7975 Nw 154th St
#250
Miami Lakes, FL 33016-5863
Phone: (305) 615-6300
Fax: (305) 330-9902
Street-level locationGet directions
Mailing address
16426 Ne 32nd Ave
North Miami Beach, FL 33160-4138
Registry dates
- Enumerated
- 2017-03-20
- Last updated
- 2022-02-08
- Certified
- 2022-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.