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Contact Information

ENDODONTIC PROFESSIONALS, PA - ST. MICHEAL ENDODONTICS
750 CENTRAL AVE E
SUITE 202
SAINT MICHAEL, MN55376-4552
 Phone: 763-497-0082
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTIC PROFESSIONALS, PA - ST. MICHEAL ENDODONTICS

NPI # 1528237468
LBN Legal business name ENDODONTIC PROFESSIONALS, PA - ST. MICHEAL ENDODONTICS
Authorized official THOMAS KARN - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/25/2008
Last updated 02/25/2008 - About 18 years ago
Identifiers
MN License # 1093720
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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