| Great River Endodontics | |
|
9381 Cedar St. Monticello MN 55362 | |
| (763) 295-2222 | |
| (763) 295-2249 |
| Full Name | Great River Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 9381 Cedar St., Monticello, Minnesota |
| Authorized Official Name and Position | Thomas Andrew Karn (PRESIDENT) |
| Authorized Official Contact | 3202595078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great River Endodontics 622 Roosevelt Rd. Suite 180 St. Cloud MN 56301 Ph: (320) 259-5078 | Great River Endodontics 9381 Cedar St. Monticello MN 55362 Ph: (763) 295-2222 |
| NPI Number | 1275034886 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275034886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 11880 (Minnesota) | Primary |
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