Organization · Type 2 NPI

Minnesota Orthodontics and Dentofacial Orthopedics PA

Specialist · Northfield, MN

NPI number 1417175696 Active

Practice location

2019 Jefferson Rd, Suite C
Northfield, MN 55057-3258

Fax (507) 645-1684

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	10890 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 other providers at this address

NPI record

NPI: 1417175696
Entity type: Organization (Type 2)
Issued: Apr 23, 2007
Last updated: Sep 15, 2020
Status: Active

Other names

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Northfield Orthodontics · doing business as
Northfield Orthodontics · doing business as

Authorized official

Rebecca Craig
Financial Coord
(651) 750-7273

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417175696

Minnesota Orthodontics and Dentofacial Orthopedics PA's National Provider Identifier is 1417175696, issued on Apr 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Northfield, MN. The record was last updated on Sep 15, 2020.