| Orthodontic Specialists Of Minnesota, P.l.l.c. | |
|
1109 Moore Lake Dr E Fridley MN 55432 | |
| (763) 572-2224 | |
| Not Available |
| Full Name | Orthodontic Specialists Of Minnesota, P.l.l.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1109 Moore Lake Dr E, Fridley, Minnesota |
| Authorized Official Name and Position | John Gulon (PRESIDENT) |
| Authorized Official Contact | 6517462815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Specialists Of Minnesota, P.l.l.c. 2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 746-2815 | Orthodontic Specialists Of Minnesota, P.l.l.c. 1109 Moore Lake Dr E Fridley MN 55432 Ph: (763) 572-2224 |
| NPI Number | 1306338553 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306338553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Dental Specialists Of Minnesota, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-571-9990 Fax: 763-572-2226 | |
Minneapolis-st. Paul Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 East Moore Lake Drive, Fridley, MN 55432 Phone: 651-439-2600 Fax: 651-439-2211 | |
Lapinski Family Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Mississippi St Ne, Fridley, MN 55432 Phone: 763-574-7505 Fax: 763-574-7506 | |
Moore Lake Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6230 Highway 65 Ne, Suite 105, Fridley, MN 55432 Phone: 763-571-5497 | |
Steady Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6230 Highway 65 Ne Ste 105, Fridley, MN 55432 Phone: 763-571-5497 | |
Northern Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Moore Lake Dr E, Fridley, MN 55432 Phone: 651-351-7777 Fax: 651-439-2211 |