ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS NPI 1003009374

Dentist (Endodontics) in Maple Grove, MN

NPI 1003009374 Organization Dentist Endodontics

About ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS

Endodontic Professionals Pa Arbor Lakes Endodontics is a provider established in Maple Grove, Minnesota specializing in dentist (endodontics) . The NPI number of Endodontic Professionals Pa Arbor Lakes Endodontics is 1003009374 and was assigned on August 2007. The practitioner's primary taxonomy code is 1223E0200X with license number 6500003 (MN). The provider is registered as an organization and their NPI record was last updated 14 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. The authorized official of this NPI record is Thomas A Karn Dmd (Vice President)

A dentist like Endodontic Professionals Pa Arbor Lakes Endodontics is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1003009374

Provider NameENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS
Provider Location Address12000 ELM CREEK BLVD SUITE 240 MAPLE GROVE, MN 55369
Provider Mailing Address12000 ELM CREEK BLVD SUITE 240 MAPLE GROVE, MN 55369
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date08-21-2007
Last Update Date08-21-2007


Primary Taxonomy

Taxonomy Code1223E0200X
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.

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

Get Directions


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



Authorized Official

Authorized Official Name THOMAS A KARN DMD
Authorized Official TitleVICE PRESIDENT
Authorized Official Phone(763) 416-3619

Group Taxonomy


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.

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
1720252349 LEILANI L LABELLE DDS MS
Individual
Dentist (Periodontics)12000 ELM CREEK BLVD #320
MAPLE GROVE, MN 55369
(763) 420-0200
1659608776NORTHSTAR NEUROLOGICAL CLINIC LTD
Organization
Psychiatry & Neurology (Neurology)12000 ELM CREEK BLVD SUITE 330
MAPLE GROVE, MN 55369
(763) 416-1400
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
1821130600 ELIZABETH ELEANORE PAYNE MD
Individual
Otolaryngology12000 ELM CREEK BLVD #620
MAPLE GROVE, MN 55369
(763) 494-9882
1053759878SOUND ZZZ MEDICAL EQUIPMENT
Organization
Durable Medical Equipment & Medical Supplies12000 ELM CREEK BLVD SUITE 360B
MAPLE GROVE, MN 55369
(763) 315-4300
1912090390AFFILIATED OTOLARYNGOLOGISTS PA
Organization
Otolaryngology12000 ELM CREEK BLVD #L20
MAPLE GROVE, MN 55369
(763) 494-9882

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.