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PINE LAKES ENDODONTICS PA
NPI 1386305779
Dentist - Endodontics in Baxter, MN

Active since January 06, 2022
13046 FALCON DR STE 2, BAXTER, MN 56425(217) 520-2397 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pine Lakes Endodontics Pa NPPES

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

PINE LAKES ENDODONTICS PA (NPI 1386305779) is a healthcare organization registered as an endodontics in Baxter, Minnesota and active in the NPI registry since January 2022. The organization lists Brock Aaron Droll, Endodontist, as its authorized official.

NPPES Registry Identity

NPI1386305779
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NamePINE LAKES ENDODONTICS PA
Location Address13046 FALCON DR STE 2Baxter, MN 56425-4201
Mailing Address13046 Falcon Dr Ste 2Baxter, MN 56425-4201
Phone(217) 520-2397
Organization SubpartNo
Authorized OfficialBrock Aaron DrollEndodontist · (217) 520-2397
Enumeration DateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1386305779 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.
13046 FALCON DR STE 2, Baxter, MN 56425
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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

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 Pine Lakes Endodontics PA's NPI number?

The NPI number for Pine Lakes Endodontics PA is 1386305779. It was assigned to this organization in the NPPES registry on January 6, 2022.

Where is Pine Lakes Endodontics PA located?

Pine Lakes Endodontics PA is located at 13046 Falcon Dr Ste 2, Baxter, MN 56425. The listed phone number is (217) 520-2397.

What is Pine Lakes 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 Pine Lakes Endodontics PA was last updated on January 6, 2022. 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.