ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C.


Address: 40 W Nicollet Blvd, Burnsville, MN 55337-4524
Phone: 9522412496

ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C. (NPI# 1245722297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245722297
Entity Type Organization
Organization Name ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C.
Other Organization Name THE DENTAL SPECIALISTS- ORTHODONTICS
Practice Address 40 W Nicollet Blvd
Burnsville
MN 55337-4524
Mailing Address 2200 County Road C W Ste 2210
Roseville
MN 55113-2551
Practice Telephone 9522412496
Mailing Telephone 6517462815
Enumeration Date 2018-06-05
Last Update Date 2020-10-28
Authorized Official Name JOHN GULON (PRESIDENT)
Authorized Official Telephone 6517462815
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Other Provider/Organization Names

Other Name Type Code
The Dental Specialists- Orthodontics Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1053685586 Orthodontic Specialists of Minnesota, P.l.l.c. Dentist 2200 County Road C W, Suite 2210, Roseville, MN 55113 2012-03-01
1821362302 Orthodontic Specialists of Minnesota, P.l.l.c. Dentist 6545 France Ave S, Suite 381, Edina, MN 55435 2012-03-01

Office Location

Street Address 40 W NICOLLET BLVD
City BURNSVILLE
State MN
Zip Code 55337-4524

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508932344 Dental Specialists of Minnesota, Pllc Dentist 40 W Nicollet Blvd, Burnsville, MN 55337-4524 2006-11-24
1366992034 Omar Ezzaldin Abusteit Dentist 40 W Nicollet Blvd, Burnsville, MN 55337-4524 2016-10-06
1134595556 Lindsey Erickson Dentist 40 W Nicollet Blvd, Burnsville, MN 55337-4524 2015-08-19
1821473927 Pdg, P.a. Clinic/Center 40 W Nicollet Blvd, Burnsville, MN 55337 2015-07-30
1659798866 Xu Benjamin Han Dentist 40 W Nicollet Blvd, Burnsville, MN 55337-4524 2014-03-25
1306976279 Sarah L Carlson Dentist 40 W Nicollet Blvd, Burnsville, MN 55337 2007-03-07
1588725394 Karen Ann Kohler Dentist 40 W Nicollet Blvd, Burnsville, MN 55337-4524 2006-12-13
1891854832 Amanda Buntzman Allen Dentist 40 W Nicollet Blvd, Burnsville, MN 55337-4524 2006-12-06
1184782542 Pdg,p.a. Dentist 40 W Nicollet Blvd, Burnsville, MN 55337-4524 2006-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053939397 Alpha Quality Care1 L. L. C. Home Infusion 12924 18th Ave South, Burnsville, MN 55337 2020-07-13
1568085900 Kathryn Harris Counselor 11939 W. River Hills Dr., Burnsville, MN 55337 2020-05-20
1952941254 Noah Home Care Inc. Home Health 13521 Nicollet Lane, Burnsville, MN 55337 2020-01-14
1750854287 Baraka Home Care LLC Nursing Care 1700 James Place, Burnsville, MN 55337 2019-01-08
1699298778 Raphael Cheron-dittmann Hearing Instrument Specialist 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 2017-07-20
1669909818 Mercy Home Care Ltd Hospice Care, Community Based 1020 E 146th St Ste 220d, Burnsville, MN 55337 2017-05-18
1457893984 Daniel Ryan Nguyen Physician Assistant 14551 Co Rd #11 #100, Burnsville, MN 55337 2016-11-15
1730542572 Iris Reproductive Psychiatric Clinic Clinical Nurse Specialist 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 2016-03-30
1740657204 Mercy Link, LLC Home Health 13005 Salem Pl, Burnsville, MN 55337 2015-08-31
1669852158 Mixa Dipak Patel Physical Therapy Assistant 8380 Hiawatha Ave, Eden Prairie, MN 55337 2015-06-01
Find all providers in zip 55337

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467799924 Dentalign, Pa Dentist 2999 County Road 42 W Suite 138, Burnsville, MN 55306 2013-01-03
1730217191 Thomas Ford Everett Dentist Family Orthodontic Specialists, 14344 Burnhaven Dr, Burnsville, MN 55306-5306 2007-02-28
1912005075 Keith Allan Kemnitz Dentist 2999 County Road 42 W, Suite 138, Burnsville, MN 55306-6994 2006-09-20
1548818560 Orthodontic Specialists of Minnesota, P.l.l.c. Dentist 675 E Nicollet Blvd Ste 120, Burnsville, MN 55337-6748 2019-09-03
1063613131 Tiffany T Waki Dentist 14000 Nicollet Ave, Suite 300, Burnsville, MN 55337-5790 2007-05-29
1619025798 Kuipers Orthodontics Dentist 14000 Nicollet Ave, Suite 300, Burnsville, MN 55337-5790 2007-01-08
1023063708 James Nasby Dentist 14344 Burnhaven Dr, Burnsville, MN 55337 2006-05-23
1568420834 Robert Henry Grossman Dentist 14050 Nicollet Ave, Ste 301, Burnsville, MN 55337-5710 2006-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871100974 Candid Minnesota, Pllc Dentist 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 2020-09-23
1518572916 Smile Orthodontics Stillwater LLC Dentist 2008 Ford Pkwy, Saint Paul, MN 55116-1931 2020-09-11
1508476482 Sensational Smiles Dentist 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 2020-08-05
1457969636 Eden Prairie Orthodontic Assoc Dentist 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 2020-07-14
1164040457 Colby Orthodontics LLC Dentist 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 2020-07-13
1619595220 Tracy Miao Liang Dentist 515 Delaware St Se # 320, Minneapolis, MN 55455-0357 2020-07-09
1477170108 Jesse N Veil Dds Ms Pa Dentist 250 Fuller St S Ste 100, Shakopee, MN 55379-1324 2020-06-29
1124663067 Bruce William Anderson Dentist 2725 Fox Farm Rd, Worthington, MN 56187-3040 2019-11-14
1598300675 Dentalign, Pa Dentist 11942 Business Park Blvd, Champlin, MN 55316 2019-11-12
1528622883 Margaret Therese Anderson Dentist 2019 Jefferson Rd Ste C, Northfield, MN 55057-3258 2019-04-23
Find all providers with the same taxonomy

Competitor

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City BURNSVILLE
Zip Code 55337

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Dataset Information

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.

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