Organization · Type 2 NPI

Family Endodontic Specialists PLC

General Practice Dentistry · Maple Grove, MN

NPI number 1487302113 Active

Practice location

15785 95th Ave N
Maple Grove, MN 55369-4404

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

14 other providers at this address

Other general practice dentistry providers in Maple Grove

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NPI record

NPI: 1487302113
Entity type: Organization (Type 2)
Issued: Mar 11, 2022
Last updated: Jan 6, 2023
Status: Active
Subpart: Yes of Family Endodontic Specialists PLC

Other names

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Metro Dentalcare Specialty Center Maple Grove Endodontics · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487302113

Family Endodontic Specialists PLC's National Provider Identifier is 1487302113, issued on Mar 11, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Maple Grove, MN. The record was last updated on Jan 6, 2023.