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GREAT RIVER ENDODONTICS, PA
NPI 1861708828
Dentist - Endodontics in Saint Cloud, MN

Active since August 27, 2010
622 ROOSEVELT RD, SUITE 180, SAINT CLOUD, MN 56301(320) 259-5078(320) 259-1484 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great River Endodontics, Pa NPPES

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

GREAT RIVER ENDODONTICS, PA (NPI 1861708828) is a healthcare organization registered as an endodontics in Saint Cloud, Minnesota and active in the NPI registry since August 2010. The organization lists Thomas Andrew Karn, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1861708828
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameGREAT RIVER ENDODONTICS, PA
Location Address622 ROOSEVELT RD, SUITE 180Saint Cloud, MN 56301-6153
Mailing Address622 Roosevelt Rd, Suite 180Saint Cloud, MN 56301-6153 · (320) 259-5078 · Fax (320) 259-1484
Phone(320) 259-5078
Fax(320) 259-1484
Organization SubpartNo
Authorized OfficialThomas Andrew KarnOwner/president · (320) 259-5078
Enumeration DateAugust 27, 2010
✔ NPI 1861708828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MN · UNKNOWN
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.
622 ROOSEVELT RD, Saint Cloud, MN 56301
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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

Other Providers at the Same Location NPPES 3

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

MINNESOTA HEAD AND NECK PAIN CLINIC, PA
Dentist (Orofacial Pain)
622 ROOSEVELT RD
SAINT CLOUD, MN 56301
Stearns County (763) 577-2484
CENTRAL MINNESOTA GROUP HEALTH, INC.
Specialist/Technologist, Other
622 ROOSEVELT RD, DISTRICT SQUARE SUITE 140
SAINT CLOUD, MN 56301
Stearns County (320) 203-2380
DR. DENNIS MAXWELL TUCKER D.D.S.
Dentist (Endodontics)
622 ROOSEVELT RD, STE 180
SAINT CLOUD, MN 56301
Stearns County (320) 259-5078

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 Great River Endodontics, PA's NPI number?

The NPI number for Great River Endodontics, PA is 1861708828. It was assigned to this organization in the NPPES registry on August 27, 2010.

Where is Great River Endodontics, PA located?

Great River Endodontics, PA is located at 622 Roosevelt Rd Suite 180, Saint Cloud, MN 56301. The listed phone number is (320) 259-5078.

What is Great River 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 Great River Endodontics, PA was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.