Endodontic Professionals PA Plymouth Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

1093720 Issued in MN

Legal business name

ENDODONTIC PROFESSIONALS PA PLYMOUTH ENDODONTICS

Practice address

3401 Hwy 169 N
Plymouth, MN 55441

Phone

(763) 559-0859

Fax

(763) 559-4356

NPI assigned

Aug 21, 2007

Organization subpart

Yes

Parent organization

ENDODONTIC PROFESSIONALS PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas A Karn, DMD

Title

Vice President

Phone

(763) 559-4356

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1093908360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 HWY 169 N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-559-0859",
            "fax_number": "763-559-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 HWY 169 N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-559-0859",
            "fax_number": "763-559-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC PROFESSIONALS PA PLYMOUTH ENDODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDODONTIC PROFESSIONALS PA",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "KARN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "763-559-4356",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "1093720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ying P Elliott, LICSW
• Kristen Elm
• Ivy Arwen Emery, RN, CNP
• Aimee Jean Endean, D.D.S.
• Mowoh A Endeley, CRNA
• Abbey Elizabeth Enfield
• Angela Engberg
• Eric Englund, PA
• Abbigail A Engrav
• Enriching Home Care Services, LLC

• Endodontics in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Endodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.