Wayzata Endodontics Pa in Wayzata - Endodontics
Wayzata Endodontics Pa - NPI 1508926841
Wayzata Endodontics Pa is a Endodontics in Wayzata, Minnesota. Wayzata Endodontics Pa practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Wayzata Endodontics Pa is 1508926841. The last update date is 2020-08-22.
Wayzata Endodontics Pa's current location address is 250 N Central Ave, Wayzata, Minnesota. You can contact this provider via phone number 9524760070. The mailing address for Wayzata Endodontics Pa is 250 N Central Ave, Wayzata, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wayzata Endodontics Pa |
|---|---|
| Address | 250 N Central Ave, Wayzata, Minnesota |
| Phone Number | 9524760070 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Otoole Vincent Gregory |
| Credentials | DDS MS |
| Telephone Number | 9524760070 |
NPI Number Detail
| NPI Number | 1508926841 |
|---|---|
| Provider Enumeration Date | 2006-12-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 250 N Central Ave |
|---|---|
| City | Wayzata |
| State | Minnesota (MN) |
| Post Code | 55391 |
| Phone Number | 9524760070 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 11543 |
|
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 Wayzata Endodontics Pa by the Centers for Medicare & Medicaid Services?
The Wayzata Endodontics Pa has been assigned the NPI (National Provider Identifier) 1508926841 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Wayzata Endodontics Pa is physically located?
The Wayzata Endodontics Pa is physically situated at the following address: 250 N Central Ave, Wayzata, MN, 55391.
What is Wayzata Endodontics Pa's area of expertise and its corresponding taxonomy classification?
The Wayzata Endodontics Pa'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 Wayzata Endodontics Pa receive its 1508926841 assignment from the Centers for Medicare & Medicaid Services?
The Wayzata Endodontics Pa was assigned its 1508926841 on 2006-12-09, 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 Wayzata Endodontics Pa's details last updated?
The information pertaining to the Wayzata Endodontics Pa, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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