| Northern Orthodontics | |
|
13961 60th St N Stillwater MN 55082-1053 | |
| (651) 351-7777 | |
| (651) 351-5161 |
| Full Name | Northern Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 13961 60th St N, Stillwater, 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 Po Box 270 Stillwater MN 55082-1053 Ph: (651) 351-7777 | Northern Orthodontics 13961 60th St N Stillwater MN 55082-1053 Ph: (651) 351-7777 |
| NPI Number | 1689842841 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 02/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689842841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D10622 (Minnesota) | Primary |
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