DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA

MEDICARE: MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist10890MN

General Provider Information

NPI Number : 1417175696
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA
Provider Business Mailing Address
First Line : 2019 JEFFERSON RD
Second Line : SUITE C
City : NORTHFIELD
State : MN
Zip : 55057-3258
Country : US
Telephone Number : 507-333-2990
Fax Number : 507-645-1684
Provider Business Practice Location Address
First Line : 2019 JEFFERSON RD
Second Line : SUITE C
City : NORTHFIELD
State : MN
Zip : 55057-3258
Country : US
Telephone Number : 507-333-2990
Fax Number : 507-645-1684
Authorized Official
Title or Position : FINANCIAL COORD
Name : REBECCA CRAIG
Credential :
Telephone Number : 651-750-7273
Provider Enumeration Date : 04/23/2007
Last Update Date : 09/15/2020

Similar Medicare Providers

1992701536 — DR. DAVID KENNETH HAKES O.D.
Practice Location Address:
2019 JEFFERSON RD , STE A
NORTHFIELD, MN
55057-3258
Practice Phone: 507-645-9202
Practice Fax: 507-645-9203
1285631895 — DR. PATRICK WILLIAM O'NEILL O.D.
Practice Location Address:
2019 JEFFERSON RD , STE A
NORTHFIELD, MN
55057-3258
Practice Phone: 507-645-9202
Practice Fax: 507-645-9203
1053390385 — DR. NATHAN PETER HEILMAN O.D.
Practice Location Address:
2019 JEFFERSON RD STE A
NORTHFIELD, MN
55057-3258
Practice Phone: 507-645-9202
Practice Fax: 507-645-9203
1508951765 — RIVER VALLEY EYE ASSOCIATES INC.
Practice Location Address:
2019 JEFFERSON RD , SUITE B
NORTHFIELD, MN
55057-3258
Practice Phone: 507-645-2020
Practice Fax: 507-645-9203
1518057553 — RIVER VALLEY EYE ASSOCIATES, INC
Practice Location Address:
2019 JEFFERSON RD , SUITE A
NORTHFIELD, MN
55057-3258
Practice Phone: 507-645-9202
Practice Fax: 507-645-9203
1376111971 — DR. GARET CHAYCE MILINER OD
Practice Location Address:
2019 JEFFERSON RD STE A
NORTHFIELD, MN
55057-3258
Practice Phone: 507-645-9202
Practice Fax:

Directions to “MINNESOTA ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.