ST. CROIX ENDODONTICS NPI 1952709420

NPI Information

  • NPI: 1952709420
  • Provider Name: ST. CROIX ENDODONTICS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 25 LAKE ST N
    SUITE 110
    FOREST LAKE, MN
    ZIP 55025
  • Phone: (651) 464-7388

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NPI Details

ST. CROIX ENDODONTICS is an endodontics dentist in Forest Lake, 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. ST. CROIX ENDODONTICS NPI is 1952709420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25 LAKE ST N
SUITE 110
FOREST LAKE, MN
ZIP 55025-535
Phone: (651) 464-7388
Fax: (651) 982-6236

The provider's authorized official is Serena Jean Pedersen .
The authorized official title is Office Manager and has the following contact phone number (763) 767-9119.

The enumeration date for this NPI number is 12/15/2014 and was last updated on 11/23/2020.

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
11223E0200XDentistEndodonticsYes

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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