| Impact Orthodontics, Pllc | |
|
4256 Nicollet Ave Minneapolis MN 55409 | |
| (507) 272-9665 | |
| Not Available |
| Full Name | Impact Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4256 Nicollet Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mitchell Hemann (OWNER) |
| Authorized Official Contact | 5072729665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Orthodontics, Pllc 150 26th Ave Se Unit 512 Minneapolis MN 55414-4329 Ph: (507) 272-9665 | Impact Orthodontics, Pllc 4256 Nicollet Ave Minneapolis MN 55409 Ph: (507) 272-9665 |
| NPI Number | 1194544189 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194544189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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