ENDODONTIC PROFESSIONALS, PA - ST. MICHEAL ENDODONTICS (NPI# 1528237468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528237468 |
| Entity Type | Organization |
| Organization Name | ENDODONTIC PROFESSIONALS, PA - ST. MICHEAL ENDODONTICS |
| Practice Address |
750 Central Ave E Suite 202 Saint Michael MN 55376-4552 |
| Practice Telephone | 7634970082 |
| Mailing Telephone | 7634970082 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Authorized Official Name | THOMAS ANDREW KARN (VICE PRESIDENT) |
| Authorized Official Telephone | 7635590859 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | ENDODONTIC PROFESSIONALS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
1093720 | MN | Dental Providers |
| Street Address |
750 CENTRAL AVE E SUITE 202 |
| City | SAINT MICHAEL |
| State | MN |
| Zip Code | 55376-4552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639485634 | Great River Endodontics, Pa | Dentist | 750 Central Ave E, Suite 202, Saint Michael, MN 55376-4552 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513128 | Jacqueline Jensen | Physical Therapist | 601 Central Ave W, Suite 102, St Michael, MN 55376 | 2019-05-17 |
| 1902308901 | Great Lakes Chiropractic of St. Michael Pllc Ltd | Chiropractor | 116 Central Ave E, Saint Michael, MN 55376 | 2018-03-06 |
| 1073050704 | Catherine Passe | Registered Nurse | 600 Central Street Avenue East, St Michael, MN 55376 | 2017-01-19 |
| 1518208313 | Allison Rae Delaney | Speech-Language Pathologist | 403 East Central Ave, Suite 102, Sunny Days Therapy, St. Michael, MN 55376 | 2013-03-05 |
| 1902195357 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9 Central Ave E, Saint Michael, MN 55376 | 2011-04-06 |
| 1629148523 | John Richard Biorn | Dentist | 399 East Central Ave, St. Michael, MN 55376 | 2006-11-08 |
| 1124096730 | Catherine T Pham | Pediatrics | 4300 Edgewood Drive Ne, St. Michael, MN 55376 | 2006-03-09 |
| 1295256345 | Caleb John Mol | Marriage & Family Therapist | 703 Thielen Dr, Saint Michael, MN 55376 | 2017-06-29 |
| 1508022922 | Katie J Stangl | Marriage & Family Therapist | 703 Thielen Dr, Saint Michael, MN 55376 | 2008-08-05 |
| 1225100811 | Posthumus & Biorn, Inc. | Dentist | 399 Central Ave E, Saint Michael, MN 55376-0279 | 2006-11-15 |
| Find all providers in zip 55376 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639485634 | Great River Endodontics, Pa | Dentist | 750 Central Ave E, Suite 202, Saint Michael, MN 55376-4552 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071199 | Dental Specialist of Minnesota, Pllc | Dentist | 18258 Minnetonka Blvd Ste 100, Wayzata, MN 55391-3324 | 2020-07-29 |
| 1215588660 | The Dental Specialist of Minnesota, Pllc | Dentist | 324 W Superior St Ste 824, Duluth, MN 55802-1718 | 2019-09-26 |
| 1780236539 | Modern Care Endodontics of Apple Valley | Dentist | 15160 Foliage Ave Ste 100, Apple Valley, MN 55124-5916 | 2019-07-11 |
| 1699268052 | Christopher Rex Lai | Dentist | 8-166 Moos Health Sciene Tower, 515 Delaware St. Se, Minneapolis, MN 55455 | 2018-06-11 |
| 1699272427 | Group Health Plan Inc | Dentist | 5500 Excelsior Blvd, St Louis Park, MN 55416-2935 | 2018-04-09 |
| 1225533037 | Younghyup Byun | Dentist | 1900 Kruchten Ct S Ste 100, Sartell, MN 56377-4731 | 2018-03-26 |
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
| 1174045975 | The Dental Specialists of Minnesota, Pllc | Dentist | 4640 Nicols Rd Ste 202, Eagan, MN 55122-7400 | 2017-07-13 |
| 1861914061 | The Dental Specialist of Minnesota, Pllc | Dentist | 2550 University Ave W Ste 155s, Saint Paul, MN 55114-1098 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MICHAEL |
| Zip Code | 55376 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.