Individual provider · Type 1 NPI

Kelley A. Gyllenhaal, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Minneapolis, MN

NPI number 1346672060 Active

Practice location

515 Delaware St SE, 6-320
Minneapolis, MN 55455-0357

Call (612) 625-5110 Map

Mailing address

1080 Shermer Rd
Glenview, IL 60025-2730

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XR578 (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 1346672060

Kelley A. Gyllenhaal, DDS's National Provider Identifier is 1346672060, issued on Aug 5, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 5, 2013.