ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS NPI 1003009374

Dentist (Endodontics) in Maple Grove, MN

About ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS

Endodontic Professionals Pa Arbor Lakes Endodontics is a provider in Maple Grove, MN. The NPI number assigned to this provider is 1003009374. The practitioner's primary taxonomy code is Dentist (1223E0200X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Endodontic Professionals Pa Arbor Lakes Endodontics operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003009374 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS
Provider Location Address12000 ELM CREEK BLVD SUITE 240 MAPLE GROVE, MN 55369 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address12000 ELM CREEK BLVD SUITE 240 MAPLE GROVE, MN 55369 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-21-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-21-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS
12000 ELM CREEK BLVD
SUITE 240
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 416-3619
Fax: (763) 416-3695
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Mailing Address

ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS
12000 ELM CREEK BLVD
SUITE 240
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 416-3619
Fax: (763) 416-3695

Primary Taxonomy

Taxonomy Code1223E0200X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDentist
TypeDental Providers
SpecializationEndodontics
License No.6500003
License StateMN
Taxonomy DescriptionThe 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.

Authorized Official

Authorized Official Name THOMAS A KARN DMD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleVICE PRESIDENT
Authorized Official Phone(763) 416-3619

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Map Location


ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS address is 12000 ELM CREEK BLVD SUITE 240 MAPLE GROVE, MN 55369

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023022613 RICHARD JOHN MORRIS M.D.
Individual
Allergy & Immunology (Allergy)12000 ELM CREEK BLVD SUITE 200
MAPLE GROVE, MN 55369
(763) 420-1010
1053759878SOUND ZZZ MEDICAL EQUIPMENT
Organization
Durable Medical Equipment & Medical Supplies12000 ELM CREEK BLVD SUITE 360B
MAPLE GROVE, MN 55369
(763) 315-4300
1659608776NORTHSTAR NEUROLOGICAL CLINIC LTD
Organization
Psychiatry & Neurology (Neurology)12000 ELM CREEK BLVD SUITE 330
MAPLE GROVE, MN 55369
(763) 416-1400
1720252349 LEILANI L LABELLE DDS MS
Individual
Dentist (Periodontics)12000 ELM CREEK BLVD #320
MAPLE GROVE, MN 55369
(763) 420-0200
1821130600 ELIZABETH ELEANORE PAYNE MD
Individual
Otolaryngology12000 ELM CREEK BLVD #620
MAPLE GROVE, MN 55369
(763) 494-9882
1912090390AFFILIATED OTOLARYNGOLOGISTS PA
Organization
Otolaryngology12000 ELM CREEK BLVD #L20
MAPLE GROVE, MN 55369
(763) 494-9882
1922315712 ABIGAIL MARIE CARHILL MA, CCC-SLP
Individual
Speech-Language Pathologist12000 ELM CREEK BLVD SUITE 210- NORTH MEMORIAL REHAB SERVICES
MAPLE GROVE, MN 55369
(763) 520-4916