OrganizationActive
Clermont Endodontic Specialist, PA
NPI 1649668682 · Endodontics · Lakeland, FL
Clermont Endodontic Specialist, PA is a Endodontics organization in Lakeland, FL (NPI 1649668682).
Provider details
- NPI number
- 1649668682
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Parent organization
- Clermont Endodontic Specialist, PA
- Organization subpart
- Yes
- Authorized official
- Kendra Walker, Credentialing Coordinator(217) 540-8312
- License
- DN19410 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3207 S Florida Ave
Lakeland, FL 33803-4550
Phone: (863) 937-9181
Street-level locationGet directions
Mailing address
3207 S Florida Ave
Lakeland, FL 33803-4550
Other names (DBA / former)
- Doing business as
- Lakeland Endodontics
Registry dates
- Enumerated
- 2014-12-29
- Last updated
- 2014-12-29
Frequently asked questions
- What is Clermont Endodontic Specialist, PA's NPI number?
- Clermont Endodontic Specialist, PA's National Provider Identifier (NPI) is 1649668682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clermont Endodontic Specialist, PA?
- Clermont Endodontic Specialist, PA is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Clermont Endodontic Specialist, PA located?
- Clermont Endodontic Specialist, PA's practice location on file with NPPES is 3207 S Florida Ave, Lakeland, FL 33803-4550.
- What is Clermont Endodontic Specialist, PA's phone number?
- The practice phone number listed in the NPPES registry for Clermont Endodontic Specialist, PA is (863) 937-9181.
- Who is the authorized official for Clermont Endodontic Specialist, PA?
- The authorized official listed on Clermont Endodontic Specialist, PA's NPPES record is Kendra Walker, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clermont Endodontic Specialist, PA's NPI active?
- Yes — Clermont Endodontic Specialist, PA's NPI (1649668682) is active in the NPPES registry as of the last update on 2014-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.