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ST. CROIX ENDODONTICS
NPI 1790389005
Dentist - Endodontics in Blaine, MN

Active since November 27, 2020
11855 ULYSSES ST NE STE 260, BLAINE, MN 55434(763) 767-9119 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 30, 2020, Nov 27, 2020 (2 updates tracked since 2020).

About St. Croix Endodontics NPPES

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

ST. CROIX ENDODONTICS (NPI 1790389005) is a healthcare organization registered as an endodontics in Blaine, Minnesota and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Forest Lake and lists Katie Klein, Bussiness Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790389005
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameST. CROIX ENDODONTICS
Location Address11855 ULYSSES ST NE STE 260Blaine, MN 55434-4182
Mailing Address11855 Ulysses St Ne Ste 260Blaine, MN 55434-4182 · (763) 767-9119
Phone(763) 767-9119
Organization SubpartNo
Authorized OfficialKatie KleinBussiness Office Manager · (763) 767-9119
Enumeration DateNovember 27, 2020
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1790389005 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.
11855 ULYSSES ST NE STE 260, Blaine, MN 55434
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Other Names 1

Doing Business AsSt. Croix Endodontics

Secondary Practice Location 1

Location 125 Lake St N Ste 110Forest Lake, MN 55025-2543 · Phone (651) 464-7388

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's NPI number?

The NPI number for St. Croix Endodontics is 1790389005. It was assigned to this organization in the NPPES registry on November 27, 2020.

Where is St. Croix Endodontics located?

St. Croix Endodontics is located at 11855 Ulysses St NE Ste 260, Blaine, MN 55434. The listed phone number is (763) 767-9119.

What is St. Croix Endodontics'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 was last updated on November 30, 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.