DENTALIGN, P.A (NPI# 1871837708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871837708 |
| Entity Type | Organization |
| Organization Name | DENTALIGN, P.A |
| Practice Address |
4630 Edgebrook Pl Edina MN 55424-1152 |
| Mailing Address |
10617 France Avenue S Bloomington MN 55431 |
| Practice Telephone | 7634201030 |
| Practice Fax Number | 7304205510 |
| Mailing Telephone | 7634201030 |
| Mailing Fax Number | 4304205510 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | DR. CHAD HOLLY KELLY (PRESIDENT) |
| Authorized Official Telephone | 7634201030 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760802722 | Dentalign, P.a | Dentist | 470 W 78th St, Chanhassen, MN 55317-4524 | 2014-04-17 |
| Street Address |
4630 EDGEBROOK PL |
| City | EDINA |
| State | MN |
| Zip Code | 55424-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824084 | Jamie Bradley | Midwife | 6240 Peacedale Avenue, Edina, MN 55424 | 2018-03-16 |
| 1467987313 | Lisa Sorensen | Psychologist | 5200 Willson Road, #445, Edina, MN 55424 | 2017-04-28 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1396935219 | Michele Frances Dodds | Psychologist | 3948 West 50th St, #207, Edina, MN 55424 | 2007-07-26 |
| 1245452168 | Margo Ellen Arens | Physical Therapist | 6025 St. John's Ave., Edina, MN 55424 | 2007-05-02 |
| 1215095435 | Kristie J Anderson | Nurse Practitioner | 6905 York Ave S, Edina, MN 55424 | 2006-12-04 |
| 1821199852 | Michael T Kratz Dds Pa | Dentist | 3939 W 50th Street, #208, Edina, MN 55424 | 2006-09-25 |
| 1649747114 | Elizabeth Davin | Physician Assistant | 6905 York Ave S, Edina, MN 55424 | 2018-11-01 |
| 1245606326 | Forefront Dermatology, S.c. | Dermatology | 3916 W 50th St, Edina, MN 55424 | 2015-08-12 |
| 1316346950 | Brooke A Moss | Physician Assistant | 4100 W 50th St, Edina, MN 55424 | 2014-08-20 |
| Find all providers in zip 55424 | ||||
| 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 |
|---|---|---|---|---|
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1447506571 | Gerald D. Cavanaugh & William F. Liljemark | Dentist | 3939 W. 50th St, Suite #207, Edina, MN 55424-1258 | 2012-07-26 |
| 1356586804 | Stanley P. Williamson, D.d.s., P.a. | Dentist | 5101 Vernon Ave S Ste 502, Edina, MN 55436-2169 | 2008-12-12 |
| 1649424904 | Minnesota Orthodontics and Dentofacial Orthopedics Pa | Dentist | 7149 France Ave S, Edina, MN 55435-4304 | 2008-11-12 |
| 1215157631 | Gary Alan Bolmgren | Dentist | 381 Southdale Medical Center, 6545 France Ave. S., Edina, MN 55435-2121 | 2007-04-26 |
| 1477658359 | Scott Robert Bowlby | Dentist | 3939 W 50th St Ste 207, Edina, MN 55424-1258 | 2006-09-14 |
| 1124120415 | William B Colby | Dentist | 7373 France Ave S Ste 504, Edina, MN 55435-4549 | 2006-09-05 |
| 1457979031 | Centennial Lakes Orthodontics Pllc | Dentist | 7373 France Ave S Ste 400, Edina, MN 55435-4549 | 2020-07-09 |
| 1396089298 | Pan Orthodontic Clinics | Dentist | 5101 Vernon Ave S, Suite 502, Edina, MN 55436-2172 | 2012-11-15 |
| 1821345968 | Yu Pan | Dentist | 5101 Vernon Ave S, Suite 502, Edina, MN 55436-2172 | 2012-08-08 |
| Find all providers in EDINA | ||||
Please comment or provide details below to improve the information on DENTALIGN, P.A.
| 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.