St. Croix Endodontics

Specialty details in registry · Blaine, MN

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At a glance

11855 Ulysses St Ne Ste 260, Blaine, MN 55434-4182

NPPES record updated Nov 30, 2020. Public records can lag behind changes at a practice.

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  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

11855 Ulysses St Ne Ste 260
Blaine, MN 55434-4182

Additional reported practice locations

25 Lake St N Ste 110
Forest Lake, MN 550252543
Phone: 6514647388
Professional details: NPI, taxonomy & registry record
NPI1790389005
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223E0200X
Enumeration date
Nov 27, 2020
Record updated
Nov 30, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

1223E0200X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11855 Ulysses St Ne Ste 260
Blaine, MN 55434-4182
Phone
(763) 767-9119
Mailing address
11855 ULYSSES ST NE STE 260

BLAINE, MN 554344182
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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