WAYZATA ENDODONTICS, PA; NPI #1285883777

Contact Information

WAYZATA ENDODONTICS, PA

1015 HIGHWAY 15 S
PLAZA 15
HUTCHINSON, MN 55350

Phone: 952-476-0070
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for WAYZATA ENDODONTICS, PA

NPI Number 1285883777

LBN Legal business name WAYZATA ENDODONTICS, PA

Authorized official MICHAEL TULKKI - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/09/2008

Last updated 09/09/2008 - About 18 years ago

Identifiers

License #

D11543

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WAYZATA ENDODONTICS, PA

Contact Information

Specialty

Dental

NPI Profile & details for WAYZATA ENDODONTICS, PA

Reviews for WAYZATA ENDODONTICS, PA