St. Croix Endodontics | |
25 Lake St N Suite 110 Forest Lake MN 55025-2535 | |
(651) 464-7388 | |
(651) 982-6236 |
Full Name | St. Croix Endodontics |
---|---|
Speciality | Dentist - Endodontics |
Location | 25 Lake St N, Forest Lake, Minnesota |
Authorized Official Name and Position | Serena Jean Pedersen (OFFICE MANAGER) |
Authorized Official Contact | 7637679119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Croix Endodontics 25 Lake St N Suite 110 Forest Lake MN 55025-2535 Ph: (651) 464-7388 | St. Croix Endodontics 25 Lake St N Suite 110 Forest Lake MN 55025-2535 Ph: (651) 464-7388 |
NPI Number | 1952709420 |
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Provider Enumeration Date | 12/15/2014 |
Last Update Date | 11/23/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952709420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
Travis W. Wille, Dds, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Lake St N, Suite 135, Forest Lake, MN 55025 Phone: 651-464-1151 Fax: 651-464-0620 | |
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Eric M Knaff P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Lake St N Ste 100, Forest Lake, MN 55025 Phone: 651-464-3425 Fax: 651-464-5432 | |
Rossodontics Dental Sleep Medicine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 368 Lake St S Ste 101, Forest Lake, MN 55025 Phone: 651-464-6988 | |
Southwest Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 12th St Sw Ste 2, Forest Lake, MN 55025 Phone: 612-261-4998 | |
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