ST. CROIX ENDODONTICS
NPI 1952709420
Dentist - Endodontics in Forest Lake, MN

Active since December 15, 2014
25 LAKE ST N, SUITE 110, FOREST LAKE, MN 55025(651) 464-7388(651) 982-6236 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2020, Nov 19, 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 1952709420) is a healthcare organization registered as an endodontics in Forest Lake, Minnesota and active in the NPI registry since December 2014. The organization lists Serena Jean Pedersen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1952709420
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameST. CROIX ENDODONTICS
Location Address25 LAKE ST N, SUITE 110Forest Lake, MN 55025-2535
Mailing Address25 Lake St N, Suite 110Forest Lake, MN 55025-2535 · (651) 464-7388 · Fax (651) 982-6236
Fax(651) 982-6236
Organization SubpartNo
Authorized OfficialSerena Jean PedersenOffice Manager · (763) 767-9119
Enumeration DateDecember 15, 2014
Last NPPES UpdateNovember 23, 20202 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
NPI 1952709420 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.
25 LAKE ST N, Forest Lake, MN 55025

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 6

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

Dentist (Orthodontics and Dentofacial Orthopedics)
25 LAKE ST N, SUITE 135
FOREST LAKE, MN 55025
Dentist (Endodontics)
25 LAKE ST N, STE 110
FOREST LAKE, MN 55025
Dermatology
25 LAKE ST N, SUITE 200
FOREST LAKE, MN 55025
Chiropractor
25 LAKE ST N, SUITE 217
FOREST LAKE, MN 55025
Chiropractor
25 LAKE ST N, SUITE 217
FOREST LAKE, MN 55025
Dentist (Endodontics)
25 LAKE ST N, STE 110
FOREST LAKE, MN 55025

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 1952709420. It was assigned to this organization in the NPPES registry on December 15, 2014.

Where is St. Croix Endodontics located?

St. Croix Endodontics is located at 25 Lake St N Suite 110, Forest Lake, MN 55025. The listed phone number is (651) 464-7388.

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 23, 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.