ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C. (NPI# 1588156525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588156525 |
| Entity Type | Organization |
| Organization Name | ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C. |
| Other Organization Name | THE DENTAL SPECIALISTS- ORTHODONTICS |
| Practice Address |
18315 Cascade Dr Ste 110 Eden Prairie MN 55347 |
| Mailing Address |
2200 County Road C W Roseville MN 55113-2550 |
| Practice Telephone | 9526530475 |
| 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 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| Street Address |
18315 CASCADE DR STE 110 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013765 | Wellspring Women's Counseling Pllc | Counselor | 8688 Shiloh Court, Eden Prairie, MN 55347 | 2020-05-01 |
| 1013436591 | Peter Joseph Dorsen | Counselor | 14377 Chestnut Drive, Eden Prairie, MN 55347 | 2017-09-15 |
| 1144508490 | Jenny Marie Heidt | Chiropractor | 8941 Aztec Drive, Eden Prairie, MN 55347 | 2011-08-03 |
| 1023337946 | Holly Christine Hanson | Dermatology | 18315 Cascade Dr., Suite 150, Eden Prairie, MN 55347 | 2010-05-18 |
| 1083635635 | Michael H Hoxie | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1396290334 | Eve R. Boaheng | Audiologist-Hearing Aid Fitter | 18315 Cascade Dr, 100, Eden Prairie, MN 55347 | 2016-08-19 |
| 1316380934 | Sima Kavand | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55347 | 2013-04-12 |
| 1073534632 | Bruce W Hultgren | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1407258239 | Audrey Butler | Speech-Language Pathologist | 18117 Settlers Way, Eden Prairie, MN 55347-1029 | 2014-09-24 |
| 1790993798 | Daniel L Bachicha | Counselor | 18700 Wynnfield Rd, Eden Prairie, MN 55347-1066 | 2007-05-21 |
| Find all providers in zip 55347 | ||||
| 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 |
|---|---|---|---|---|
| 1457969636 | Eden Prairie Orthodontic Assoc | Dentist | 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 | 2020-07-14 |
| 1386798049 | Timothy J. Montgomery | Dentist | 16570 W 78th St, Eden Prairie, MN 55346-4308 | 2007-01-22 |
| 1780789743 | Mark F Holmberg | Dentist | 11800 Singletree Ln Ste 406, Eden Prairie, MN 55344-7900 | 2006-09-14 |
| 1083635635 | Michael H Hoxie | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1073727293 | Florena LLC | Dentist | 8785 Columbine Rd, Eden Prairie, MN 55344-6695 | 2007-05-09 |
| 1790809267 | Ocg Ltd | Dentist | 16570 W 78th St, Eden Prairie, MN 55346-4308 | 2007-03-19 |
| 1316097116 | Hultgren & Hoxie Orthodontics | Dentist | 7825 Terrey Pine Ct, Suite 101, Eden Prairie, MN 55347-1126 | 2007-01-12 |
| 1225133119 | Lilah Suzan Ekim | Dentist | 11800 Singletree Ln Ste 406, Eden Prairie, MN 55344-7900 | 2006-09-14 |
| 1073534632 | Bruce W Hultgren | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1215981246 | Jesse N Veil | Dentist | 11800 Singletree Ln, #200, Eden Prairie, MN 55344-5328 | 2006-05-22 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55347 |
Please comment or provide details below to improve the information on ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C..
| 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.