NORTHERN ENDODONTIC ASSOCIATES, PA (NPI# 1659445765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659445765 |
| Entity Type | Organization |
| Organization Name | NORTHERN ENDODONTIC ASSOCIATES, PA |
| Practice Address |
324 W Superior St Suite 530 Duluth MN 55802-1701 |
| Practice Telephone | 2187277557 |
| Practice Fax Number | 2187271182 |
| Mailing Telephone | 2187277557 |
| Mailing Fax Number | 2187271182 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN FREDERICK LINDQUIST (OFFICE MANAGER) |
| Authorized Official Telephone | 2187277557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D10776 | MN | Dental Providers |
| Street Address |
324 W SUPERIOR ST SUITE 530 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517447 | Eileen E. Patterson | Dentist | 324 W Superior St, Ste 1130, Duluth, MN 55802-1714 | 2005-06-13 |
| 1669087797 | Center for Family Wellness | Marriage & Family Therapist | 324 W Superior St, 828 Medical Arts Building, Duluth, MN 55802-1701 | 2020-09-15 |
| 1639789019 | Illume North, LLC | Psychologist | 324 W Superior St, 630 Medical Arts, Duluth, MN 55802-1701 | 2020-07-31 |
| 1861038176 | Erin Elizabeth Devaney Therrien | Social Worker | 324 W Superior St, Duluth, MN 55802-1701 | 2019-11-21 |
| 1316430002 | Paul Raymond Baecker | Counselor | 324 W Superior St, Duluth, MN 55802-1701 | 2018-06-07 |
| 1194275537 | Andrea Wells | Counselor | 324 W Superior St, Duluth, MN 55802-1701 | 2016-10-10 |
| 1215480660 | North Shore Mental Health Services LLC | Counselor | 324 W Superior St, Suite 911, Duluth, MN 55802-1701 | 2016-08-02 |
| 1518321710 | Nathan G Halstead Dds Ms PC | Dentist | 324 W Superior St, Suite 100, Duluth, MN 55802-1701 | 2016-04-13 |
| 1740669704 | Northwoods Counseling Center LLC | Psychologist | 324 W Superior St, Suite 911, Duluth, MN 55802-1701 | 2015-05-23 |
| 1134522527 | Adam Ries | Psychologist | 324 W Superior St, Suite 600, Duluth, MN 55802-1701 | 2014-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| 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 |
|---|---|---|---|---|
| 1215588660 | The Dental Specialist of Minnesota, Pllc | Dentist | 324 W Superior St Ste 824, Duluth, MN 55802-1718 | 2019-09-26 |
| 1487863262 | Waheed A Malik | Dentist | 2405 Satellite Blvd., Suite 115, Duluth, GA 30096 | 2007-05-21 |
| 1568528404 | Thomas J Zbaracki Jr. | Dentist | 5005 Matterhorn Drive, Ste 1, Duluth, MN 55811 | 2006-12-28 |
| 1073122321 | Dental Specialist of Minnesota, Pllc | Dentist | 324 W Superior St Ste 824, Duluth, MN 55802-1718 | 2020-07-23 |
| 1174794002 | Georgia Endodontic Specialists | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097 | 2008-03-19 |
| 1982873964 | Rakesh Raina | Dentist | 1815 Satellite Blvd, Suite # 301, Duluth, GA 30097-5237 | 2008-02-25 |
| 1740465483 | Bilal Shah Khan | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097-4443 | 2007-12-31 |
| 1255515805 | Les Hale Kravitz | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097-4443 | 2007-12-18 |
| 1194909820 | Bruce D Rickoff | Dentist | 9590 Medlock Bridge Rd, Suite G, Duluth, GA 30097-4443 | 2007-12-17 |
| 1225102312 | Richard Lawrence Kronzer | Dentist | 324 W Superior St, Suite 530, Duluth, MN 55802-1701 | 2006-11-20 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on NORTHERN ENDODONTIC ASSOCIATES, PA.
| 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.