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Contact Information

WOODBURY ENDODONTICS, LLC
8401 SEASONS PKWY
WOODBURY, MN55125-3414
 Phone: 651-735-6430
 Fax: 651-735-6334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for WOODBURY ENDODONTICS, LLC

NPI Number 1205008661
LBN Legal business name WOODBURY ENDODONTICS, LLC
Authorized official MITCHELL PAGE - (PRESIDENT OF WOODBURY ENDODONTICS)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2008
Last updated 03/26/2008 - About 18 years ago
Identifiers
MN License # D10211
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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