Family Orthodontic Specialists PLC
Family Orthodontic Specialists PLC provides General Practice Dentistry in Shakopee, Minnesota. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1759 17th Ave EShakopee, MN 55379-3372
Phone: (952) 746-8996
Fax: (952) 746-8996
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1164165890 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Family Orthodontic Specialists PLC |
| Authorized official | Celia Hayes — Credentialing Coordinator · (217) 540-2100 |
| Other names | Woodlake Orthodontics Shakopee |
| NPI enumerated | April 20, 2022 |
| Last updated in NPPES | April 20, 2022 |
| Certification date | April 20, 2022 |
| Mailing address | 1759 17th Ave E, Shakopee, MN 55379-3372 |
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