MEDICARE: NANCY A NORLING DDS 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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1629150008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NANCY A NORLING DDS PA

Provider Business Mailing Address
First Line	:	1660 HIGHWAY 100 S STE 122
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-1483
Country	:	US
Telephone Number	:	952-544-4129
Fax Number	:	952-544-7489

Provider Business Practice Location Address
First Line	:	1660 HIGHWAY 100 S STE 122
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55416-1483
Country	:	US
Telephone Number	:	952-544-4129
Fax Number	:	952-544-7489

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. NANCY ANN NORLING
Credential	:	DDS
Telephone Number	:	952-544-4129

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	08/22/2020

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