OrganizationActive
St. Croix Endodontics, P.A.
NPI 1629199617 · Endodontics · Blaine, MN
St. Croix Endodontics, P.A. is a Endodontics organization in Blaine, MN (NPI 1629199617).
Provider details
- NPI number
- 1629199617
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Edward Stec, Owner(763) 767-9119
- License
- 9920 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11945 Central Ave Ne
Blaine, MN 55434-3911
Phone: (763) 767-9119
Fax: (763) 755-3797
Street-level locationGet directions
Mailing address
25 Lake St N
Forest Lake, MN 55025-2535
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is St. Croix Endodontics, P.A.'s NPI number?
- St. Croix Endodontics, P.A.'s National Provider Identifier (NPI) is 1629199617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Croix Endodontics, P.A.?
- St. Croix Endodontics, P.A. is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is St. Croix Endodontics, P.A. located?
- St. Croix Endodontics, P.A.'s practice location on file with NPPES is 11945 Central Ave Ne, Blaine, MN 55434-3911.
- What is St. Croix Endodontics, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for St. Croix Endodontics, P.A. is (763) 767-9119.
- Who is the authorized official for St. Croix Endodontics, P.A.?
- The authorized official listed on St. Croix Endodontics, P.A.'s NPPES record is Edward Stec, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Croix Endodontics, P.A.'s NPI active?
- Yes — St. Croix Endodontics, P.A.'s NPI (1629199617) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.