NPI 1083357727

Family Orthodontic Specialists, Plc

Organisation General Practice Dentistry Maple Grove, MN

Practice location

Address: 13784 83rd Way N, Maple Grove, MN 55369-7192
Phone: (763) 494-6612

Authorised official

Name: Celia Hayes
Title: Credentialing Coordinator
Phone: (217) 540-2100

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Minnesota →

Registry record

NPI: 1083357727
Entity type: Organization
NPI issued: 20 Apr 2022
Record last updated: 20 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.