Organization · Type 2 NPI

Eden Prairie Orthodontic Assoc

Orthodontics and Dentofacial Orthopedics Dentistry · Eden Prairie, MN

NPI number 1457969636 Active

Practice location

8200 Commonwealth Dr # 100
Eden Prairie, MN 55344-5365

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

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 1457969636

Eden Prairie Orthodontic Assoc's National Provider Identifier is 1457969636, issued on Jul 14, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Eden Prairie, MN. The record was last updated on Jul 14, 2020.