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Contact Information

ST. CROIX ENDODONTICS, P.A.
11945 CENTRAL AVE NE
BLAINE, MN55434-3911
 Phone: 763-767-9119
 Fax: 763-755-3797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ST. CROIX ENDODONTICS, P.A.

NPI Number 1629199617
LBN Legal business name ST. CROIX ENDODONTICS, P.A.
Authorized official EDWARD STEC - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 9920
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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