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Contact Information

GROVE ENDODONTICS, P.A.
8811 92ND ST S
SUITE 109
COTTAGE GROVE, MN55016-4036
 Phone: 651-768-8180
 Fax: 651-768-8184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for GROVE ENDODONTICS, P.A.

NPI Number 1083789507
LBN Legal business name GROVE ENDODONTICS, P.A.
Authorized official THOMAS WALDRON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # D10981
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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