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NORTHLAND ENDODONTICS PA
NPI 1932200037
Dentist - Endodontics in Blaine, MN

Active since September 25, 2006
11800 ABERDEEN ST NE, SUITE 140, BLAINE, MN 55449(763) 772-0330(763) 772-0354 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northland Endodontics Pa NPPES

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

NORTHLAND ENDODONTICS PA (NPI 1932200037) is a healthcare organization registered as an endodontics in Blaine, Minnesota and active in the NPI registry since September 2006. The organization lists Kris David Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1932200037
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameNORTHLAND ENDODONTICS PA
Location Address11800 ABERDEEN ST NE, SUITE 140Blaine, MN 55449-4808
Mailing Address11800 Aberdeen St Ne, Suite 140Blaine, MN 55449-4808 · (763) 772-0330 · Fax (763) 772-0354
Phone(763) 772-0330
Fax(763) 772-0354
Organization SubpartNo
Authorized OfficialKris David JohnsonPresident · (763) 772-0330
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1932200037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MN · D10585
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.
11800 ABERDEEN ST NE, Blaine, MN 55449
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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 4

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

DR. MICHAEL JOSEPH HAUWILLER
Dentist
11800 ABERDEEN ST NE, SUITE 110
BLAINE, MN 55449
Anoka County (763) 786-4280
ABERDEEN DENTAL ASSOCIATES
Dentist (General Practice)
11800 ABERDEEN ST NE, SUITE 110
BLAINE, MN 55449
Anoka County (763) 786-4280
DR. DONNA JEAN MATTSCHECK D.M.D.
Dentist (Endodontics)
11800 ABERDEEN ST NE, #140
BLAINE, MN 55449
Anoka County (763) 772-0330
AMANDA NEUMANN LMFT
Marriage & Family Therapist
11800 ABERDEEN ST NE, STE 100
BLAINE, MN 55449
Anoka County (763) 270-0054

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 Northland Endodontics PA's NPI number?

The NPI number for Northland Endodontics PA is 1932200037. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Northland Endodontics PA located?

Northland Endodontics PA is located at 11800 Aberdeen St NE Suite 140, Blaine, MN 55449. The listed phone number is (763) 772-0330.

What is Northland 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 Northland 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.