| Family Orthodontic Specialists Plc | |
|
1759 17th Ave E Shakopee MN 55379-3372 | |
| (952) 746-8996 | |
| (952) 746-8996 |
| Full Name | Family Orthodontic Specialists Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1759 17th Ave E, Shakopee, 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 1759 17th Ave E Shakopee MN 55379-3372 Ph: (952) 746-8996 | Family Orthodontic Specialists Plc 1759 17th Ave E Shakopee MN 55379-3372 Ph: (952) 746-8996 |
| NPI Number | 1164165890 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164165890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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