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ST. CROIX ENDODONTICS, P.A.
NPI 1629199617
Dentist - Endodontics in Blaine, MN

Active since April 03, 2007
11945 CENTRAL AVE NE, BLAINE, MN 55434(763) 767-9119(763) 755-3797 Get Directions Write a Review

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

About St. Croix Endodontics, P.a. NPPES

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

ST. CROIX ENDODONTICS, P.A. (NPI 1629199617) is a healthcare organization registered as an endodontics in Blaine, Minnesota and active in the NPI registry since April 2007. The organization lists Edward J Stec, Owner, as its authorized official.

NPPES Registry Identity

NPI1629199617
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameST. CROIX ENDODONTICS, P.A.
Location Address11945 CENTRAL AVE NEBlaine, MN 55434-3911
Mailing Address25 Lake St N, Ste 110Forest Lake, MN 55025-2535 · (651) 464-7388 · Fax (651) 982-6236
Phone(763) 767-9119
Fax(763) 755-3797
Organization SubpartNo
Authorized OfficialEdward J StecOwner · (763) 767-9119
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629199617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MN · 9920
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.
11945 CENTRAL AVE NE, Blaine, MN 55434
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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 St. Croix Endodontics, P.A.'s NPI number?

The NPI number for St. Croix Endodontics, P.A. is 1629199617. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is St. Croix Endodontics, P.A. located?

St. Croix Endodontics, P.A. is located at 11945 Central Ave NE, Blaine, MN 55434. The listed phone number is (763) 767-9119.

What is St. Croix Endodontics, P.A.'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 St. Croix Endodontics, P.A. 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.