Provider Demographics
NPI:1952746216
Name:ENDEAN, AIMEE JEAN (DDS)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:JEAN
Last Name:ENDEAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:JEAN
Other - Last Name:WEINLANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1525 COUNTY ROAD 101 N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-2707
Mailing Address - Country:US
Mailing Address - Phone:763-515-7543
Mailing Address - Fax:
Practice Address - Street 1:1525 COUNTY ROAD 101 N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-2707
Practice Address - Country:US
Practice Address - Phone:763-515-7543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-30
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND13218122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist