OrganizationNerness Endodontics, P.C.(Nerness Endodontics)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address2480 White Bear Ave N Ste 202, Maplewood, MN 55109-4567(651) 777-7744PECOS EnrollmentBased on the most recent information from CMS, provider Nerness Endodontics, P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063825701Provider TypeOrganizationFull NameNerness Endodontics, P.C.Other NameNerness EndodonticsSubpartNoEnumeration Date6/10/2014Last Updated3/10/2016Contact InformationPractice LocationPractice Address2480 White Bear Ave N Ste 202, Maplewood, MN 55109-4567Phone(651) 777-7744FaxUnlisted FaxMailing LocationMailing Address2480 White Bear Ave N Ste 202, Maplewood, MN 55109-4567PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameNerness, Andrew (President)Phone(651) 777-7744Provider TaxonomiesCodeDescriptionLicenseCode261QD0000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseD13349Minnesota