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Dr. Mario Endiakov, DMD
Dentist in Tyndall Afb, Florida
NPI 1194217166

Mario Endiakov is a Dentist based in Tyndall Afb, FL. Mario Endiakov practices in Tyndall Afb, FL and has the professional credentials of DMD. The NPI Number for Mario Endiakov is 1194217166 and holds a License No. (Florida).

The current practice location address for Mario Endiakov is 340 Magnolia Cir, Tyndall Afb, FL and can be reached out via phone at 850-283-7128.

Location: 340 Magnolia Cir, Tyndall Afb, FL, 32403-5604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194217166
Provider Name
Mario Endiakov
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
340 Magnolia Cir, Tyndall Afb, FL, 32403-5604
Phone Number
850-283-7128
Fax Number
Provider Enumeration Date
06/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 Magnolia Cir
City
Tyndall Afb
State
Florida
Zip
32403-5604
Phone Number
850-283-7128
Fax Number
person
Provider Business Mailing Address Details
Address
340 Magnolia Cir
City
Tyndall Afb
State
Florida
Zip
32403-5604
Phone Number
850-283-7128
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
019031843 (Illinois)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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