National Provider Identifier Database

ROCHESTER ENDODONTICS PA
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

ROCHESTER ENDODONTICS, PA
116 ELTON HILLS LN NW
SUITE 100
ROCHESTER, MN55901-3602
Phone: 507-288-8363
Fax: 507-288-4456
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for ROCHESTER ENDODONTICS, PA

NPI Number 1326398025
Legal business name
LBN
ROCHESTER ENDODONTICS, PA
Authorized official GERALD GRAY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/11/2012
Last updated 08/09/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: D11595
  • MN License #: D13634
  • MN License #: D8111

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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