Organization provider
ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS
CMS NPPES lists ENDODONTIC PROFESSIONALS PA ARBOR LAKES ENDODONTICS as an organization provider record with NPI 1003009374. The current record reports a primary practice location in MAPLE GROVE, MN and primary taxonomy code 1223E0200X.
Type 2 NPIs identify organizations such as practices, groups, and facilities; the NPI type alone does not establish a specific organization category. How to read this profile
01
Practice locations
- Primary practice location12000 ELM CREEK BLVDSUITE 240MAPLE GROVE, MN 55369
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
1223E0200XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- August 21, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.