NPI 1083789507

Grove Endodontics, P.A.

Organisation Endodontics Cottage Grove, MN

Practice location

Address: 8811 92nd St S Suite 109, Cottage Grove, MN 55016-4036
Phone: (651) 768-8180
Fax: (651) 768-8184

Authorised official

Name: Thomas W Waldron
Title: President
Phone: (651) 768-8180

Registered specialties

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence D10981 (MN)

Other Dentist providers in Minnesota →

Registry record

NPI: 1083789507
Entity type: Organization
NPI issued: 21 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.