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Contact Information

GREAT RIVER ENDODONTICS, PA
622 ROOSEVELT RD
SUITE 180
SAINT CLOUD, MN56301-6153
 Phone: 320-259-5078
 Fax: 320-259-1484
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for GREAT RIVER ENDODONTICS PA · (Female)

NPI Number 1861708828
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2010
Last updated 08/27/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # UNKNOWN
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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