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Contact Information

ST. CROIX ENDODONTICS
25 LAKE ST N
SUITE 110
FOREST LAKE, MN55025-2535
 Phone: 651-464-7388
 Fax: 651-982-6236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ST. CROIX ENDODONTICS

NPI Number 1952709420
LBN Legal business name ST. CROIX ENDODONTICS
Authorized official SERENA PEDERSEN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2014
Last updated 11/23/2020 - 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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