Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northland Endodontics PA

Organization Endodontics · NPI 1932200037

Northland Endodontics PA is an Endodontics in Blaine, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11800 Aberdeen St NE Ste 140
Blaine, MN 55449-4808
Phone: (763) 772-0330
Fax: (763) 772-0354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence D10585 (MN)

Record details

NPI number1932200037
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kris Johnson — President · (763) 772-0330
NPI enumeratedSeptember 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address11800 Aberdeen St Ne, Suite 140, Blaine, MN 55449-4808

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