Healthcare Provider Details

I. General information

NPI: 1356261564
Provider Name (Legal Business Name): SUNRISE ENDODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

756 HARRISON AVE
PANAMA CITY FL
32401-2524
US

IV. Provider business mailing address

231 WHITE OAKS BLVD
PANAMA CITY FL
32409-2370
US

V. Phone/Fax

Practice location:
  • Phone: 850-732-8837
  • Fax: 850-732-8838
Mailing address:
  • Phone: 941-525-6931
  • Fax: 850-732-8838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA DAVID ALLORE
Title or Position: OWNER
Credential: DMD
Phone: 941-525-6931