| Tc Orthodontics | |
|
2999 County Road 42 W Suite 138 Burnsville MN 55306 | |
| (952) 892-3282 | |
| Not Available |
| Full Name | Tc Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2999 County Road 42 W Suite 138, Burnsville, Minnesota |
| Authorized Official Name and Position | Chad Holly Kelly (PRESIDENT) |
| Authorized Official Contact | 6127010478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tc Orthodontics 4630 Edgebrook Place Edina MN 55424 Ph: (612) 701-0478 | Tc Orthodontics 2999 County Road 42 W Suite 138 Burnsville MN 55306 Ph: (952) 892-3282 |
| NPI Number | 1467799924 |
|---|---|
| Provider Enumeration Date | 01/03/2013 |
| Last Update Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467799924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11493 (Minnesota) | Primary |
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