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Contact Information

ST. CROIX ENDODONTICS
11855 ULYSSES ST NE STE 260
BLAINE, MN55434-4182
 Phone: 763-767-9119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ST. CROIX ENDODONTICS

NPI # 1790389005
LBN Legal business name ST. CROIX ENDODONTICS
Authorized official KATIE KLEIN - (BUSSINESS OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2020
Last updated 11/30/2020 - About 6 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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