St. Croix Endodontics
NPI 1952709420ActiveOrganization· Dentist, Endodontics· Forest Lake, MN
Dentist, Endodontics in Forest Lake, Minnesota, registered in NPPES in December 2014. The authorized official on file is Serena Jean Pedersen, Office Manager.
Overview
| NPI | 1952709420 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2014 |
| Last updated in NPPES | Nov 23, 2020 |
| Certified by provider | Nov 23, 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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