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GREAT RIVER ENDODONTICS, PA
NPI 1144583527
Dentist - Endodontics in Willmar, MN

Active since June 20, 2012
1100 19TH AVE SW, WILLMAR, MN 56201(320) 259-5078(320) 259-5078 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great River Endodontics, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT RIVER ENDODONTICS, PA (NPI 1144583527) is a healthcare organization registered as an endodontics in Willmar, Minnesota and active in the NPI registry since June 2012. The organization lists Thomas Andrew Karn, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1144583527
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameGREAT RIVER ENDODONTICS, PA
Location Address1100 19TH AVE SWWillmar, MN 56201-5006
Mailing Address622 Roosevelt Rd Ste 180Saint Cloud, MN 56301-6361 · (320) 259-5078 · Fax (320) 259-1484
Phone(320) 259-5078
Fax(320) 259-5078
Organization SubpartNo
Authorized OfficialThomas Andrew KarnOwner/president · (320) 259-5078
Enumeration DateJune 20, 2012
✔ NPI 1144583527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MN · 11880
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 etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1100 19TH AVE SW, Willmar, MN 56201
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Group Practice 1

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHLEEN ELIZABETH LIPPERT SWYSTUN DC
Chiropractor
1100 19TH AVE SW, SUITE 3
WILLMAR, MN 56201
Kandiyohi County (320) 894-0066
JEREMY JOHNSON
Dentist (Orthodontics and Dentofacial Orthopedics)
1100 19TH AVE SW, SUITE 1
WILLMAR, MN 56201
Kandiyohi County (320) 325-3102
COMPASS CHIROPRACTIC LLC
Chiropractor
1100 19TH AVE SW, SUITE 3
WILLMAR, MN 56201
Kandiyohi County (306) 222-1984
DR. TANNER JOHN SWYSTUN DC
Chiropractor
1100 19TH AVE SW, SUITE 3
WILLMAR, MN 56201
Kandiyohi County (306) 222-1984
CENTRAL MINNESOTA PEDIATRIC DENTISTS PA
Dentist (Pediatric Dentistry)
1100 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 253-0272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great River Endodontics, PA's NPI number?

The NPI number for Great River Endodontics, PA is 1144583527. It was assigned to this organization in the NPPES registry on June 20, 2012.

Where is Great River Endodontics, PA located?

Great River Endodontics, PA is located at 1100 19th Ave SW, Willmar, MN 56201. The listed phone number is (320) 259-5078.

What is Great River Endodontics, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Great River Endodontics, PA was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.