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Contact Information

MINNEAPOLIS-ST.PAUL ENDODONTICS
10150 CITY WALK DR STE C
WOODBURY, MN55129
 Phone: 651-714-7111
 Fax: 651-714-9005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MINNEAPOLIS-ST.PAUL ENDODONTICS

NPI Number 1104193762
LBN Legal business name MINNEAPOLIS-ST.PAUL ENDODONTICS
Authorized official CHRISTA MIGGLER - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2011
Last updated 11/28/2011 - About 15 years ago
Identifiers n/a
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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