Forest Lake Endodontics
NPI 1871106393ActiveOrganization· Dentist, Endodontics· Forest Lake, MN
Dentist, Endodontics in Forest Lake, Minnesota, registered in NPPES in August 2020. The authorized official on file is Renee Irene Klossner, Office Manager.
Overview
| NPI | 1871106393 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2020 |
| Last updated in NPPES | Sep 8, 2020 |
| Certified by provider | Sep 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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