National Provider Identifier Database

ENDODONTIC PROFESSIONALS PA ST ANTHONY 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 ANTHONY ENDODONTICS
3905 SILVER LAKE RD NE
MINNEAPOLIS, MN55421-4352
Phone: 763-559-0859
Fax: 763-559-4356
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for ENDODONTIC PROFESSIONALS PA - ST ANTHONY ENDODONTICS

NPI Number 1538577341
Legal business name
LBN
ENDODONTIC PROFESSIONALS PA - ST ANTHONY ENDODONTICS
Authorized official MARK JENSEN - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 07/24/2014
Last updated 07/24/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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