Owatonna Endodontics, LLC
Dentist, Endodontics in Owatonna, MN. Organization (NPI-2).
NPI number1164096665
StatusActive
Last updated in NPPESAug 30, 2021
Details
- NPI
- 1164096665
- Entity type
- Organization (NPI-2)
- Legal business name
- Owatonna Endodontics, LLC
- Organization subpart
- No
- Enumeration date
- May 18, 2021
- Certification date
- Aug 30, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | – | – | Yes |
Practice location
125 28th St Ne Ste 1Owatonna, MN 55060-2560
Phone 507-242-1441
Mailing address
18599 Verna LnPrior Lake, MN 55372-9730
Phone 215-667-9440
Authorized official
Robert Thomas Beasley
Dentist
5072421441
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Endodontics providers in Owatonna, MN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.