IndividualActive
Patrick Ennen, DDS
NPI 1710944988 · Periodontics · Coon Rapids, MN
Provider details
- NPI number
- 1710944988
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- License
- 7668 (MN)
Specialties & taxonomies
Dental Providers
Practice location
3960 Coon Rapids Blvd Nw
Suite 213
Coon Rapids, MN 55433-2569
Phone: (763) 427-4912
Fax: (763) 427-0771
Approximate (ZIP-level) locationGet directions
Mailing address
3960 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-2569
Registry dates
- Enumerated
- 2006-04-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.