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WAYZATA ENDODONTICS PA
NPI 1508926841
Dentist - Endodontics in Wayzata, MN

Active since December 09, 2006
250 N CENTRAL AVE, SUITE 303, WAYZATA, MN 55391(952) 476-0070 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wayzata Endodontics Pa NPPES

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

WAYZATA ENDODONTICS PA (NPI 1508926841) is a healthcare organization registered as an endodontics in Wayzata, Minnesota and active in the NPI registry since December 2006. The organization lists Gregory Vincent Otoole, President, as its authorized official.

NPPES Registry Identity

NPI1508926841
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameWAYZATA ENDODONTICS PA
Location Address250 N CENTRAL AVE, SUITE 303Wayzata, MN 55391
Mailing Address250 N Central Ave, Suite 303Wayzata, MN 55391 · (952) 476-0070
Phone(952) 476-0070
Organization SubpartNo
Authorized OfficialGregory Vincent OtoolePresident · (952) 476-0070
Enumeration DateDecember 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508926841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in MN · 9011✔ Licensed in MN · 11543
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.
250 N CENTRAL AVE, Wayzata, MN 55391
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

LINDA NIELSEN SEDGWICK CPNP
Registered Nurse (Pediatrics)
250 N CENTRAL AVE, # 101
WAYZATA, MN 55391
Hennepin County (952) 473-0211
TRACEY ANN MCGUINN MD
Pediatrics
250 N CENTRAL AVE, #101
WAYZATA, MN 55391
Hennepin County (952) 473-0211
LEE ANN HERTZOG DONOVAN CPNP
Registered Nurse (Pediatrics)
250 N CENTRAL AVE, #101
WAYZATA, MN 55391
Hennepin County (952) 473-0211
CAMARA GOOD LLC
Clinic/Center (Dental)
250 N CENTRAL AVE, SUITE 300
WAYZATA, MN 55391
Hennepin County (952) 473-9779

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 Wayzata Endodontics PA's NPI number?

The NPI number for Wayzata Endodontics PA is 1508926841. It was assigned to this organization in the NPPES registry on December 9, 2006.

Where is Wayzata Endodontics PA located?

Wayzata Endodontics PA is located at 250 N Central Ave Suite 303, Wayzata, MN 55391. The listed phone number is (952) 476-0070.

What is Wayzata 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 Wayzata Endodontics PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.