Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY D. ERICKSON, D.D.S, P.A.
Active Sole ProprietorDR. JEFFREY D. ERICKSON, D.D.S, P.A. is a Endodontics healthcare provider located in BLOOMINGTON, Minnesota. NPI 1487719209 is currently active in the NPPES registry. Verify at CMS.
Endodontics · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1487719209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2006 (19.635816059205 yrs)
- Last Updated
- Jul 8, 2007
- License
-
83A80 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8900 PENN AVE S105BLOOMINGTON, MN, 554312068Browse MN providers · Browse ZIP 55431
- Phone
- 9528845500
- Fax
- 9522531005
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.