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Contact Information

ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C.
2200 COUNTY ROAD C W
SUITE 2210
ROSEVILLE, MN55113
 Phone: 651-633-0500
 Fax: 651-636-6894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C.

NPI # 1053685586
LBN Legal business name ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C.
Authorized official JOHN GULON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2012
Last updated 10/28/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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