John David Nydahl, D.D.S.

Endodontics · Saint Cloud, MN

Individual Active NPI

NPI number 1508869371

Practice location

1011 2ND St N
Ste 101
Saint Cloud, MN 56303-3237
Phone
(320) 253-0744
Fax
(320) 253-9930

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NPI record

NPI
1508869371
Entity type
Individual (Type 1)
Enumeration date
May 24, 2005
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X D8204 MN

About Dr. Nydahl

John David Nydahl, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 1011 2ND St N, Ste 101, Saint Cloud, MN 56303-3237. The NPI number 1508869371 was assigned on May 24, 2005 and the record was last updated on July 8, 2007.

Dr. Nydahl lists a license in the registry: #D8204 (MN) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John David Nydahl, D.D.S.?

The NPI number is 1508869371.

What is the phone number of Dr. Nydahl?

The phone number listed for the practice location is (320) 253-0744.

Where is Dr. Nydahl located?

1011 2ND St N, Ste 101, Saint Cloud, MN 56303-3237.

What is the taxonomy code for Dr. Nydahl?

The primary taxonomy code is 1223E0200X – Endodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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