National Provider Identifier Database

ENDODONTIC PROFESSIONALS PA ST CLOUD ENDODONTICS
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

ENDODONTIC PROFESSIONALS PA ST CLOUD ENDODONTICS
1555 NORTHWAY DRIVE
SUITE 210
SAINT CLOUD, MN56303
Phone: 320-259-5078
Fax: 320-259-1484
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for ENDODONTIC PROFESSIONALS PA ST CLOUD ENDODONTICS

NPI Number 1487847752
Legal business name
LBN
ENDODONTIC PROFESSIONALS PA ST CLOUD ENDODONTICS
Authorized official THOMAS KARN - (VICE PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 08/21/2007
Last updated 08/21/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 8575456

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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