St. Croix Endodontics, P.A. in Blaine - Endodontics
St. Croix Endodontics, P.A. - NPI 1629199617
St. Croix Endodontics, P.A. is a Endodontics in Blaine, Minnesota. St. Croix Endodontics, P.A. practices all healthcare services and medical treatments related to Endodontics. The NPI Number for St. Croix Endodontics, P.A. is 1629199617. The last update date is 2020-08-22.
St. Croix Endodontics, P.A.'s current location address is 11945 Central Ave Ne, Blaine, Minnesota. You can contact this provider via phone number 7637679119 and fax number 7637553797. The mailing address for St. Croix Endodontics, P.A. is 11945 Central Ave Ne, Blaine, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Croix Endodontics, P.A. |
|---|---|
| Address | 11945 Central Ave Ne, Blaine, Minnesota |
| Phone Number | 7637679119 |
| Fax Number | 7637553797 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Stec J Edward |
| Telephone Number | 7637679119 |
NPI Number Detail
| NPI Number | 1629199617 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11945 Central Ave Ne |
|---|---|
| City | Blaine |
| State | Minnesota (MN) |
| Post Code | 554343911 |
| Phone Number | 7637679119 |
| Fax Number | 7637553797 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 9920 |
|
Definition: 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 eti |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to St. Croix Endodontics, P.A. by the Centers for Medicare & Medicaid Services?
The St. Croix Endodontics, P.A. has been issued the NPI (National Provider Identifier) 1629199617, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of St. Croix Endodontics, P.A.?
The St. Croix Endodontics, P.A. is physically situated at 11945 Central Ave Ne, in the city of Blaine, state of MN, with the postal code 554343911.
What is St. Croix Endodontics, P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The St. Croix Endodontics, P.A.'s area of specialization is Endodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223E0200X.
On what date did St. Croix Endodontics, P.A. receive its 1629199617 assignment from the Centers for Medicare & Medicaid Services?
The St. Croix Endodontics, P.A. was assigned its 1629199617 on 2007-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to St. Croix Endodontics, P.A. most recently updated or revised?
The information pertaining to St. Croix Endodontics, P.A., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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