| Northfield Orthodontics | |
|
3100 Woodbury Dr Woodbury MN 55129-9600 | |
| (651) 714-4987 | |
| (651) 730-0415 |
| Full Name | Northfield Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3100 Woodbury Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | Regina L Blevins (OWNER/PRESIDENT) |
| Authorized Official Contact | 6517144987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northfield Orthodontics 3100 Woodbury Dr Woodbury MN 55129-9600 Ph: (651) 450-7273 | Northfield Orthodontics 3100 Woodbury Dr Woodbury MN 55129-9600 Ph: (651) 714-4987 |
| NPI Number | 1578505152 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578505152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 10244 (Minnesota) | Primary |
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