GREAT LAKES ENDODONTICS is a dental clinic center in Hermantown, MN. GREAT LAKES ENDODONTICS NPI is 1104255371. The provider is registered as an organization entity type.
The provider's business location address is:
4815 W ARROWHEAD RD HERMANTOWN, MN ZIP 55811-004 Phone: (218) 772-0772
The provider's authorized official is Mark Terrance Phillips . The authorized official title is Dentist and has the following contact phone number (651) 528-0240.
The enumeration date for this NPI number is 11/7/2013 and was last updated on 11/7/2013.
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:
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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