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

Wayzata Endodontics PA

Organization Endodontics · NPI 1508926841

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

Licensed in
MN
In the registry since
2006
Specialties on file
2
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

250 N Central Ave Ste 303
Wayzata, MN 55391
Phone: (952) 476-0070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 9011 (MN)
Endodontics Taxonomy 1223E0200X · Licence 11543 (MN)

Record details

NPI number1508926841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Otoole — President · (952) 476-0070
NPI enumeratedDecember 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address250 N Central Ave, Suite 303, Wayzata, MN 55391

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