Modern Care Endodontics, LLC

NPI #1437403953 in Lakeville, Minnesota

Provider Information

NPI Number: 1437403953
Entity Type: Organization
Organization Name: Modern Care Endodontics, LLC
Primary Specialty: Dentist - Endodontics
Enumeration Date: Nov 6, 2012
Last Updated: Nov 6, 2012

Practice Location

Address: 18572 JOPLIN AVENUE
City: Lakeville
State: Minnesota
ZIP Code: 55044-4218
Phone: (952) 920-4400

Authorized Official

Name: JAY DAVID SIMONTON, DDS
Title: ENDODONTIST
Phone: (952) 920-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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