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Contact Information

CENTRAL MINNESOTA ENDODONTICS, PA
1900 KRUCHTEN CT S
SUITE 100
SARTELL, MN56377-4730
 Phone: 320-656-1456
 Fax: 320-656-0195
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CENTRAL MINNESOTA ENDODONTICS, PA

NPI Number 1376785501
LBN Legal business name CENTRAL MINNESOTA ENDODONTICS, PA
Authorized official CATHERINE WURM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2009
Last updated 04/02/2009 - About 17 years ago
Identifiers
MN License # 11035
MN License # 11790
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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