Endodontic Professionals Pa Plymouth Endodontics in Plymouth - Endodontics
Endodontic Professionals Pa Plymouth Endodontics - NPI 1093908360
Endodontic Professionals Pa Plymouth Endodontics is a Endodontics in Plymouth, Minnesota. Endodontic Professionals Pa Plymouth Endodontics practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Endodontic Professionals Pa Plymouth Endodontics is 1093908360. The last update date is 2007-08-21.
Endodontic Professionals Pa Plymouth Endodontics's current location address is 3401 Hwy 169 N, Plymouth, Minnesota. You can contact this provider via phone number 7635590859 and fax number 7635594356. The mailing address for Endodontic Professionals Pa Plymouth Endodontics is 3401 Hwy 169 N, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Endodontic Professionals Pa Plymouth Endodontics |
|---|---|
| Address | 3401 Hwy 169 N, Plymouth, Minnesota |
| Phone Number | 7635590859 |
| Fax Number | 7635594356 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Karn A Thomas |
| Credentials | DMD |
| Telephone Number | 7635594356 |
NPI Number Detail
| NPI Number | 1093908360 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2007-08-21 |
Provider Mailing Address Detail
| Address | 3401 Hwy 169 N |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 55441 |
| Phone Number | 7635590859 |
| Fax Number | 7635594356 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 1093720 |
|
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 identifier code issued to Endodontic Professionals Pa Plymouth Endodontics by the Centers for Medicare & Medicaid Services (CMS)?
The Endodontic Professionals Pa Plymouth Endodontics has been assigned the NPI (National Provider Identifier) 1093908360. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Endodontic Professionals Pa Plymouth Endodontics is located?
The Endodontic Professionals Pa Plymouth Endodontics is situated at the following address: 3401 Hwy 169 N, Plymouth, MN, 55441.
What is Endodontic Professionals Pa Plymouth Endodontics's area of expertise and its corresponding taxonomy classification?
The Endodontic Professionals Pa Plymouth Endodontics's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1093908360 to Endodontic Professionals Pa Plymouth Endodontics?
The Centers for Medicare & Medicaid Services assigned the 1093908360 to Endodontic Professionals Pa Plymouth Endodontics on 2007-08-21.
As of what date were the details related to Endodontic Professionals Pa Plymouth Endodontics most recently updated or revised?
The information pertaining to Endodontic Professionals Pa Plymouth Endodontics, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-21.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN