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Contact Information

NORTHLAND ENDODONTICS PA
11800 ABERDEEN ST NE
SUITE 140
BLAINE, MN55449-4808
 Phone: 763-772-0330
 Fax: 763-772-0354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for NORTHLAND ENDODONTICS PA · (Female)

NPI Number 1932200037
Status Active
Credentials
Entity Individual
Enumeration date 09/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # D10585
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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