Provider Demographics
NPI:1760270532
Name:ENDLESS SUMMER DENTAL CARE PA
Entity type:Organization
Organization Name:ENDLESS SUMMER DENTAL CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:
Authorized Official - Last Name:CELANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:904-273-9353
Mailing Address - Street 1:615 A1A N STE 103
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-2748
Mailing Address - Country:US
Mailing Address - Phone:904-273-9353
Mailing Address - Fax:
Practice Address - Street 1:615 A1A N STE 103
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-2748
Practice Address - Country:US
Practice Address - Phone:904-273-9353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental