Organization · Type 2 NPI

Bruce K.a. Dormanen, P.a.

Orthodontics and Dentofacial Orthopedics Dentistry · Anoka, MN

NPI number 1316035595 Active

Practice location

2150 3rd Ave Ste 200
Anoka, MN 55303-2200

Fax (763) 421-7559

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X8151 (MN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1316035595

Bruce K.a. Dormanen, P.a.'s National Provider Identifier is 1316035595, issued on Oct 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Anoka, MN. The record was last updated on Aug 22, 2020.