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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 Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTIC PROFESSIONALS PA ST CLOUD ENDODONTICS

NPI # 1487847752
LBN Legal business name ENDODONTIC PROFESSIONALS PA ST CLOUD ENDODONTICS
Authorized official THOMAS KARN - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/21/2007
Last updated 08/21/2007 - About 19 years ago
Identifiers
MN License # 8575456
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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