Provider Type Icon

CENTRAL MINNESOTA ORTHODONTICA NPI 1720146111


NPI Information

NPI: 1720146111
Provider Name: CENTRAL MINNESOTA ORTHODONTICA
Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
1411 W SAINT GERMAIN ST
SUITE 104
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 255-1111
Get Directions

CENTRAL MINNESOTA ORTHODONTICA is an orthodontics and dentofacial orthopedics dentist in Saint Cloud, MN. The provider is 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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. CENTRAL MINNESOTA ORTHODONTICA NPI is 1720146111. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1411 W SAINT GERMAIN ST
SUITE 104
SAINT CLOUD, MN
ZIP 56301-121
Phone: (320) 255-1111
Fax: (320) 255-1602

The provider's authorized official is Shelly Am Nordin .
The authorized official title is Business Manager and has the following contact phone number (320) 255-1111.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 8/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics8228MINNESOTANo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsD12904MINNESOTANo
31223X0400XDentistOrthodontics and Dentofacial Orthopedics11705MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.