| Msp Orthodontics Pllc | |
|
825 Nicollet Mall Ste 531 Minneapolis MN 55402-2648 | |
| (612) 332-4344 | |
| Not Available |
| Full Name | Msp Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 825 Nicollet Mall Ste 531, Minneapolis, Minnesota |
| Authorized Official Name and Position | Scott Bowlby (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 6123324344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msp Orthodontics Pllc 7373 France Ave S Ste 400 Edina MN 55435-4549 Ph: (952) 831-1324 | Msp Orthodontics Pllc 825 Nicollet Mall Ste 531 Minneapolis MN 55402-2648 Ph: (612) 332-4344 |
| NPI Number | 1649867334 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649867334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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