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Contact Information

JEFFREY D ERICKSON, D.D.S, P.A.
8900 PENN AVE S
105
BLOOMINGTON, MN55431-2068
 Phone: 952-884-5500
 Fax: 952-253-1005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for JEFFREY D ERICKSON · (Male)

NPI # 1487719209
Status Active
Credentials D.D.S, P.A.
Entity Individual
Enumeration date 12/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 83A80
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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