National Provider Identifier Database

JOHN D NYDAHL, DDS – NPI #1508869371
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

JOHN D NYDAHL, DDS
1011 2ND ST N
STE 101
SAINT CLOUD, MN56303-3237
Phone: 320-253-0744
Fax: 320-253-9930
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for JOHN D NYDAHL

NPI Number 1508869371
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/24/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • MN License #: D8204
Hospital affiliation n/a

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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