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FOREST LAKE ENDODONTICS
NPI 1871106393
Dentist - Endodontics in Forest Lake, MN

Active since August 25, 2020
1420 LAKE ST S STE 200, FOREST LAKE, MN 55025(651) 464-9888 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2020, Aug 25, 2020 (2 updates tracked since 2020).

About Forest Lake Endodontics NPPES

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

FOREST LAKE ENDODONTICS (NPI 1871106393) is a healthcare organization registered as an endodontics in Forest Lake, Minnesota and active in the NPI registry since August 2020. The organization lists Renee Irene Klossner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871106393
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameFOREST LAKE ENDODONTICS
Location Address1420 LAKE ST S STE 200Forest Lake, MN 55025-2713
Mailing Address1420 Lake St S Ste 200Forest Lake, MN 55025-2713 · (651) 464-9888
Phone(651) 464-9888
Organization SubpartNo
Authorized OfficialRenee Irene KlossnerOffice Manager · (651) 464-9888
Enumeration DateAugust 25, 2020
Last NPPES UpdateSeptember 8, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
✔ NPI 1871106393 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.
1420 LAKE ST S STE 200, Forest Lake, MN 55025
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Other Names 1

Doing Business AsForest Lake Endodontics

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

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

DR. PAUL A. VOLLMER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1420 LAKE ST S STE 200
FOREST LAKE, MN 55025
Washington County (651) 578-7000

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 Forest Lake Endodontics's NPI number?

The NPI number for Forest Lake Endodontics is 1871106393. It was assigned to this organization in the NPPES registry on August 25, 2020.

Where is Forest Lake Endodontics located?

Forest Lake Endodontics is located at 1420 Lake St S Ste 200, Forest Lake, MN 55025. The listed phone number is (651) 464-9888.

What is Forest Lake 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 Forest Lake Endodontics was last updated on September 8, 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.