Endodontic Professionals Pa Arbor Lakes Endodontics in Maple Grove - Endodontics
Endodontic Professionals Pa Arbor Lakes Endodontics - NPI 1003009374
Endodontic Professionals Pa Arbor Lakes Endodontics is a Endodontics in Maple Grove, Minnesota. Endodontic Professionals Pa Arbor Lakes Endodontics practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Endodontic Professionals Pa Arbor Lakes Endodontics is 1003009374. The last update date is 2007-08-21.
Endodontic Professionals Pa Arbor Lakes Endodontics's current location address is 12000 Elm Creek Blvd, Maple Grove, Minnesota. You can contact this provider via phone number 7634163619 and fax number 7634163695. The mailing address for Endodontic Professionals Pa Arbor Lakes Endodontics is 12000 Elm Creek Blvd, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Endodontic Professionals Pa Arbor Lakes Endodontics |
|---|---|
| Address | 12000 Elm Creek Blvd, Maple Grove, Minnesota |
| Phone Number | 7634163619 |
| Fax Number | 7634163695 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Karn A Thomas |
| Credentials | DMD |
| Telephone Number | 7634163619 |
NPI Number Detail
| NPI Number | 1003009374 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2007-08-21 |
Provider Mailing Address Detail
| Address | 12000 Elm Creek Blvd |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 55369 |
| Phone Number | 7634163619 |
| Fax Number | 7634163695 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 6500003 |
|
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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What is the unique 10-digit identifier code issued to Endodontic Professionals Pa Arbor Lakes Endodontics by the Centers for Medicare & Medicaid Services?
The Endodontic Professionals Pa Arbor Lakes Endodontics has been assigned the NPI (National Provider Identifier) 1003009374 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Endodontic Professionals Pa Arbor Lakes Endodontics's physical address?
The Endodontic Professionals Pa Arbor Lakes Endodontics is physically located at 12000 Elm Creek Blvd, in the city of Maple Grove, MN, with the postal code 55369.
What is Endodontic Professionals Pa Arbor Lakes Endodontics's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Endodontic Professionals Pa Arbor Lakes Endodontics is Endodontics, and the corresponding taxonomy classification code for this specialized field is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003009374 to Endodontic Professionals Pa Arbor Lakes Endodontics?
The Centers for Medicare & Medicaid Services assigned the 1003009374 to Endodontic Professionals Pa Arbor Lakes Endodontics on 2007-08-21.
When was the Endodontic Professionals Pa Arbor Lakes Endodontics's information last updated?
The Endodontic Professionals Pa Arbor Lakes Endodontics's information was last updated on 2007-08-21.