DENTALIGN, PA (NPI# 1598300675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
Other Name | Type Code |
---|---|
TC Orthodontics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
Street Address |
11942 BUSINESS PARK BLVD |
City | CHAMPLIN |
State | MN |
Zip Code | 55316 |
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 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 |
---|---|---|---|---|
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 |
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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.