| Smile Orthodontics Stillwater, Llc | |
| 
					2150 3rd Ave Ste 110 Anoka MN 55303-2200  | |
| (651) 351-7777 | |
| Not Available | 
| Full Name | Smile Orthodontics Stillwater, Llc | 
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics | 
| Location | 2150 3rd Ave Ste 110, Anoka, Minnesota | 
| Authorized Official Name and Position | Douglas Wolff (OWNER/DDS) | 
| Authorized Official Contact | 6513517777 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Smile Orthodontics Stillwater, Llc 1041 Grand Ave # 531 Saint Paul MN 55105-3002 Ph: () -  | Smile Orthodontics Stillwater, Llc 2150 3rd Ave Ste 110 Anoka MN 55303-2200 Ph: (651) 351-7777  | 
| NPI Number | 1457064800 | 
|---|---|
| Provider Enumeration Date | 12/30/2022 | 
| Last Update Date | 12/30/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457064800 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary | 
John J Keller Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 552 E Main St, Anoka, MN 55303 Phone: 763-421-4550 Fax: 763-421-5428  | |
Drs. Johnson And Yseth, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Jackson St, Suite 117, Anoka, MN 55303 Phone: 763-421-3330 Fax: 763-421-3331  | |
Bruce K.a. Dormanen, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 3rd Ave Ste 200, Anoka, MN 55303 Phone: 763-421-9292 Fax: 763-421-7559  | |
Group Health Plan, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 Third Avenue, Suite 200, Anoka, MN 55303 Phone: 763-421-9292 Fax: 763-421-7559  | |
Jones Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 736 E River Rd, Anoka, MN 55303 Phone: 763-421-4140 Fax: 763-421-5737  | |
Group Health Plan, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 3rd Ave, Suite 200, Anoka, MN 55303 Phone: 763-585-7610  |