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Contact Information

MODERN CARE ENDODONTICS, LLC
18572 JOPLIN AVENUE
LAKEVILLE, MN55044-4218
 Phone: 952-920-4400
 Fax: 952-882-8400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MODERN CARE ENDODONTICS, LLC

NPI # 1437403953
LBN Legal business name MODERN CARE ENDODONTICS, LLC
Authorized official JAY SIMONTON - (ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2012
Last updated 11/06/2012 - About 14 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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