| Northern Orthodontics | |
|
1109 Moore Lake Dr E Fridley MN 55432-5171 | |
| (651) 351-7777 | |
| (651) 439-2211 |
| Full Name | Northern Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1109 Moore Lake Dr E, Fridley, Minnesota |
| Authorized Official Name and Position | Douglas S Wolff (OWNER) |
| Authorized Official Contact | 6513517777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Orthodontics 13961 60th St N Stillwater MN 55082-1053 Ph: (651) 351-7777 | Northern Orthodontics 1109 Moore Lake Dr E Fridley MN 55432-5171 Ph: (651) 351-7777 |
| NPI Number | 1407166317 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407166317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11236 (Minnesota) | Primary |
The Dental Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-571-9990 Fax: 763-572-2226 | |
Minneapolis-st. Paul Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 East Moore Lake Drive, Fridley, MN 55432 Phone: 651-439-2600 Fax: 651-439-2211 | |
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Lapinski Family Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Mississippi St Ne, Fridley, MN 55432 Phone: 763-574-7505 Fax: 763-574-7506 | |
Moore Lake Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6230 Highway 65 Ne, Suite 105, Fridley, MN 55432 Phone: 763-571-5497 | |
Associated Oral And Maxillofacial Surgeons, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7136 University Ave Ne, Fridley, MN 55432 Phone: 763-574-1639 |