OWATONNA ENDODONTICS, LLC
NPI 1164096665
Dentist - Endodontics in Owatonna, MN

Active since May 18, 2021
125 28TH ST NE STE 1, OWATONNA, MN 55060(507) 242-1441 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Owatonna Endodontics, Llc NPPES

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

OWATONNA ENDODONTICS, LLC (NPI 1164096665) is a healthcare organization registered as an endodontics in Owatonna, Minnesota and active in the NPI registry since May 2021. The organization lists Robert Thomas Beasley, Dentist, as its authorized official.

NPPES Registry Identity

NPI1164096665
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameOWATONNA ENDODONTICS, LLC
Location Address125 28TH ST NE STE 1Owatonna, MN 55060-2560
Mailing Address18599 Verna LnPrior Lake, MN 55372-9730 · (215) 667-9440
Organization SubpartNo
Authorized OfficialRobert Thomas BeasleyDentist · (507) 242-1441
Enumeration DateMay 18, 2021
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
NPI 1164096665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
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.
125 28TH ST NE STE 1, Owatonna, MN 55060

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

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

Dentist (Endodontics)
125 28TH ST NE STE 1
OWATONNA, MN 55060

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 Owatonna Endodontics, LLC's NPI number?

The NPI number for Owatonna Endodontics, LLC is 1164096665. It was assigned to this organization in the NPPES registry on May 18, 2021.

Where is Owatonna Endodontics, LLC located?

Owatonna Endodontics, LLC is located at 125 28th St NE Ste 1, Owatonna, MN 55060. The listed phone number is (507) 242-1441.

What is Owatonna Endodontics, LLC'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 Owatonna Endodontics, LLC was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.