| Family Orthodontic Specialists Plc | |
|
1375 Saint Anthony Ave Saint Paul MN 55104-4006 | |
| (651) 286-8153 | |
| Not Available |
| Full Name | Family Orthodontic Specialists Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1375 Saint Anthony Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Orthodontic Specialists Plc 1375 Saint Anthony Ave Saint Paul MN 55104-4006 Ph: (651) 286-8153 | Family Orthodontic Specialists Plc 1375 Saint Anthony Ave Saint Paul MN 55104-4006 Ph: (651) 286-8153 |
| NPI Number | 1134862865 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134862865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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