Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICK JOSEPH ENNEN, DDS
ActiveDR. PATRICK JOSEPH ENNEN, DDS is a Periodontology healthcare provider located in COON RAPIDS, Minnesota. NPI 1710944988 is currently active in the NPPES registry. Verify at CMS.
Periodontology · COON RAPIDS, MN
Registration Details
- NPI Number
- 1710944988
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2006 (20.312964603753 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7668 (MN)
Practice Information
- Address
-
3960 COON RAPIDS BLVD NWSUITE 213COON RAPIDS, MN, 554332569Browse MN providers · Browse ZIP 55433
- Phone
- 7634274912
- Fax
- 7634270771
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD BRIAN WITTENBERG | D.D.S. | 1760596308 |
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.