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Great Lakes Endodontics

Dental Clinic/Center in Hermantown, MN · enumerated 2013 · authorized official Mark Phillips, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104255371

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Endodontics
Practice address 4815 W Arrowhead Rd, Hermantown, MN, 55811
Phone (218) 772-0772
Enumeration date Nov 7, 2013
Last updated in NPPES Nov 7, 2013

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License D12534 (MN) Primary

Authorized official

Name Mark Phillips
Title Dentist
Phone (651) 528-0240

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-11-07. Verify at npiregistry.cms.hhs.gov.
Where is Great Lakes Endodontics located?
The practice location on file with NPPES is in Hermantown, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-07.