St. Croix Endodontics

LBN: St. Croix Endodontics
St. Croix Endodontics is an health care organization with primary practice located at 25 Lake St N Suite 110, Forest Lake MN 55025-2535. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. St. Croix Endodontics can be contacted via phone (651) 464-7388, or through Pedersen, Serena Jean via phone (763) 767-9119.

Contact Information

Primary practice address
25 Lake St N Suite 110 Forest Lake MN 55025-2535
Phone: (651) 464-7388
Fax: (651) 982-6236
Website:
Map and Directions
Authorized official contact:
Name: Pedersen, Serena Jean
Phone: (763) 767-9119

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1952709420
LBN Legal business name St. Croix Endodontics
DBA Doing business as
Authorized official Pedersen, Serena Jean
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2014
Last updated Nov 23rd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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