Provider Demographics
NPI:1437316700
Name:BAY AREA ENDODONTICS LLP
Entity type:Organization
Organization Name:BAY AREA ENDODONTICS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:727-443-3231
Mailing Address - Street 1:1550 S HIGHLAND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-2353
Mailing Address - Country:US
Mailing Address - Phone:727-443-3231
Mailing Address - Fax:727-442-0398
Practice Address - Street 1:1550 S HIGHLAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-2353
Practice Address - Country:US
Practice Address - Phone:727-443-3231
Practice Address - Fax:727-442-0398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty