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Great Lakes Endodontics

Clinic/Center - Dental

MARK PHILLIPS
NPI: 1104255371Hermantown, Minnesota, 55811(218) 772-0772

About Great Lakes Endodontics

Great Lakes Endodontics is a healthcare organization providing Clinic/Center - Dental services, with specialized expertise in Dental, registered under National Provider Identifier (NPI) number 1104255371.

The authorized official for Great Lakes Endodontics is MARK PHILLIPS. The organization is headquartered at 4815 W ARROWHEAD RD, Hermantown, Minnesota 55811. The main office can be reached at (218) 772-0772.

Great Lakes Endodontics has been NPI-registered since 2013.

Locations & Contact

Primary Location

Address
4815 W ARROWHEAD RD
City
Hermantown
State
Minnesota
ZIP
55811-4004
Phone
(218) 772-0772
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Authorized Official

Name
MARK PHILLIPS

Mailing Address

Address
4815 W ARROWHEAD RD
City
HERMANTOWN
State
MN
ZIP
558114004

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Clinic/Center - Dental
Classification
Clinic/Center
Specialization
Dental
Taxonomy Code
261QD0000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Great Lakes Endodontics's NPI number?
Great Lakes Endodontics's National Provider Identifier (NPI) is 1104255371. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Great Lakes Endodontics specialize in?
Great Lakes Endodontics specializes in Clinic/Center - Dental.
Where is Great Lakes Endodontics located?
Great Lakes Endodontics practices at 4815 W ARROWHEAD RD, Hermantown, Minnesota 55811. You can reach them by phone at (218) 772-0772.
Does Great Lakes Endodontics accept Medicare?
Based on available data, Great Lakes Endodontics is not currently enrolled in the Medicare program.
Does Great Lakes Endodontics offer telehealth or virtual visits?
Great Lakes Endodontics does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Great Lakes Endodontics holds NPI 1104255371, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.