DENTALIGN, PA


Address: 11942 Business Park Blvd, Champlin, MN 55316
Phone: 7634219131

DENTALIGN, PA (NPI# 1598300675) 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) 1598300675
Entity Type Organization
Organization Name DENTALIGN, PA
Practice Address 11942 Business Park Blvd
Champlin
MN 55316
Mailing Address 4630 Edgebrook Place
Edina
MN 55424
Practice Telephone 7634219131
Mailing Telephone 6127010478
Enumeration Date 2019-11-12
Last Update Date 2019-11-12
Authorized Official Name CHAD KELLY (PRESIDENT)
Authorized Official Telephone 7634201030
Authorized Official Credential DMD
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
TC Orthodontics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467799924 Dentalign, Pa Dentist 2999 County Road 42 W Suite 138, Burnsville, MN 55306 2013-01-03

Office Location

Street Address 11942 BUSINESS PARK BLVD
City CHAMPLIN
State MN
Zip Code 55316

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801493903 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 11995 Business Park Blvd N, Champlin, MN 55316 2020-10-02
1811463573 Vikings Home Health Care LLC Meals 11551 Georgia Ave, N, Champlin, MN 55316 2018-10-22
1255853305 Matthew L Boelter Hearing Instrument Specialist 11451 Oregon Ave N, Champlin, MN 55316 2017-07-11
1194198309 Champlin Dentistry, PC Dentist 11231 Aquila Drive N, Champlin, MN 55316 2015-11-10
1336557412 Kelsey Voigt Pharmacist 11990 Business Park Blvd, Champlin, MN 55316 2014-08-01
1346502523 Transitions Home Care Ltd Home Health 11030 Douglas Drive North, Champlin, MN 55316 2012-06-13
1639373285 Michael D Smilanich Dentist 11231 Aquila Dr N, Champlin, MN 55316 2007-06-14
1760532907 Kurt Allan Bender Dentist 500 A Jefferson Hwy, Champlin, MN 55316 2007-01-11
1366529752 Gregory Allan Holmberg Chiropractor #8 3rd Street Nw, Osseo, MN 55316 2006-11-01
1851477020 Andrew R Moffitt Dentist 502 Jefferson Hwy, Champlin, MN 55316 2006-10-31
Find all providers in zip 55316

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 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
1528622883 Margaret Therese Anderson Dentist 2019 Jefferson Rd Ste C, Northfield, MN 55057-3258 2019-04-23
1467936377 Hani Alsibai Dentist 11806 Aberdeen St Ne Ste 240, Blaine, MN 55449-5136 2018-09-18
Find all providers with the same taxonomy

Competitor

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City CHAMPLIN
Zip Code 55316

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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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