ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS NPI 1003009374

NPI Information

  • NPI: 1003009374
  • Provider Name: ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 12000 ELM CREEK BLVD
    SUITE 240
    MAPLE GROVE, MN
    ZIP 55369
  • Phone: (763) 416-3619

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NPI Details

ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS is an endodontics dentist in Maple Grove, 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. ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS NPI is 1003009374. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12000 ELM CREEK BLVD
SUITE 240
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 416-3619
Fax: (763) 416-3695

The provider's authorized official is Thomas A Karn .
The authorized official title is Vice President and has the following contact phone number (763) 416-3619.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 8/21/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics6500003MINNESOTAYes

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: 11/21/2025

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