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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 Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

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

NPI Number 1538577341
LBN Legal business name ENDODONTIC PROFESSIONALS PA - ST ANTHONY ENDODONTICS
Authorized official MARK JENSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/24/2014
Last updated 07/24/2014 - About 12 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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