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JOHN DAVID NYDAHL D.D.S. NPI 1508869371


NPI Information

NPI: 1508869371
Provider Name: JOHN DAVID NYDAHL, D.D.S.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
1011 2ND ST N
STE 101
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 253-0744
Get Directions

John David Nydahl, D.D.S. is an endodontics dentist in Saint Cloud, MN. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. John David Nydahl, D.D.S. NPI is 1508869371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1011 2ND ST N
STE 101
SAINT CLOUD, MN
ZIP 56303-237
Phone: (320) 253-0744
Fax: (320) 253-9930

The enumeration date for this NPI number is 5/24/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsD8204MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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