ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C. (NPI# 1053685586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053685586 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C. |
| Other Organization Name | THE DENTAL SPECIALISTS - ORTHODONTICS |
| Practice Address |
2200 County Road C W Suite 2210 Roseville MN 55113 |
| Mailing Address |
2200 County Road C W Suite 2210 Roseville MN 55113-2550 |
| Practice Telephone | 6516330500 |
| Practice Fax Number | 6516366894 |
| Mailing Telephone | 6516330500 |
| Mailing Fax Number | 6516366894 |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | JOHN GULON (PRESIDENT) |
| Authorized Official Telephone | 6517462815 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| The Dental Specialists - Orthodontics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588156525 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 18315 Cascade Dr Ste 110, Eden Prairie, MN 55347 | 2018-06-05 |
| 1629560677 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 9325 Upland Ln N Ste 330, Maple Grove, MN 55369-4462 | 2018-06-05 |
| 1548818560 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 675 E Nicollet Blvd Ste 120, Burnsville, MN 55337-6748 | 2019-09-03 |
| 1295227247 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2018-06-05 |
| 1245722297 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2018-06-05 |
| 1902398944 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 12904 Central Ave Ne, Blaine, MN 55434 | 2018-06-05 |
| 1699267633 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 1150 Hazeltine Blvd, Chaska, MN 55318 | 2018-06-05 |
| 1306338553 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 1109 Moore Lake Dr E, Fridley, MN 55432 | 2018-06-04 |
| 1821362302 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 6545 France Ave S, Suite 381, Edina, MN 55435 | 2012-03-01 |
| Street Address |
2200 COUNTY ROAD C W SUITE 2210 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932256344 | Pdg,p.a. | Dentist | 2200 County Road C W, Suite 2210, Roseville, MN 55113 | 2007-01-05 |
| 1851772362 | Dental Specialists of Minnesota, Pllc | Dentist | 2200 County Road C W, Suite 2210, Roseville, MN 55113-2550 | 2015-06-11 |
| 1245660331 | Straight Smiles, Pllc | Clinic/Center | 2200 County Road C W, Suite 2210, Roseville, MN 55113-2550 | 2013-11-26 |
| 1689722639 | Dental Specialists of Minnesota, Pllc | Dentist | 2200 County Road C W, Suite 2210, Roseville, MN 55113 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1114436441 | Christian Favero | Dentist | 1603 Eureka Rd Ste 400, Roseville, CA 95661-3028 | 2017-09-29 |
| 1225432685 | Mark H Holt | Dentist | 1421 Secret Ravine Pkwy Ste 121, Roseville, CA 95661-6045 | 2014-10-14 |
| 1295171197 | Reeves, Dds and Lavalley, Dds, A Dental Corporation | Dentist | 1230 Roseville Pkwy, Ste 120, Roseville, CA 95678-3586 | 2013-05-17 |
| 1922380823 | Ryan Raymond Plewe | Dentist | 10357 Fairway Dr Ste 100, Roseville, CA 95678-3544 | 2011-09-15 |
| 1154610921 | Aida Ameri | Dentist | 2012 Katherine Pl, Roseville, CA 95678-1015 | 2011-04-01 |
| 1639362288 | Marc C. Dunn | Dentist | 10012 Foothills Blvd, Roseville, CA 95747-7102 | 2007-08-27 |
| 1295930006 | Garri Tsibel | Dentist | 1565 Eureka Rd, Roseville, CA 95661-3045 | 2007-06-20 |
| 1568532323 | Steven W Frank | Dentist | 4021 Woodcreek Oaks Blvd, Suite 100, Roseville, CA 95747 | 2006-11-09 |
| 1710067095 | Prasanna Kumar Shivapuja | Dentist | 25979 Kelly Rd, Roseville, MI 48066-4941 | 2006-10-17 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.