The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gainesville and Florida

31 active clinicians are listed under Dentist - Endodontics with a practice address in Gainesville, FL (510 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gainesville

0% of these 31 clinicians have the CMS telehealth indicator.

0% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-02

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES FL DTP843

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES TX 39073

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History

NPI enumerated February 19, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from March 2025 to August 2026.

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NPI Administrative Meta

NPI Number: 1396541660

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 19, 2025

Last Update: February 02, 2026

Sole Proprietor: No

Update or Correct Profile

Other Dentist - Endodontics Specialists in Gainesville

All Dentist - Endodontics Specialists in Gainesville

Mailing Address

Po Box 100405

Gainesville, FL 326100405

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.