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General NPI Number Information
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NPI Number | 1356261564
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Entity Type | Organization
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Legal Business Name | SUNRISE ENDODONTICS PLLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 756 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-2524
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Country | US
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Telephone | 850-732-8837
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Fax | 850-732-8838
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Provider Business Mailing Address
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Address Line | 231 WHITE OAKS BLVD
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City | PANAMA CITY
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State | FL
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Zip | 32409-2370
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Country | US
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Telephone | 941-525-6931
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Fax | 850-732-8838
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA DAVID ALLORE
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Credential | DMD
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Telephone | 941-525-6931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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