DENTALIGN P.A. (NPI# 1003174764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003174764 |
| Entity Type | Organization |
| Organization Name | DENTALIGN P.A. |
| Practice Address |
7860 Main St Maple Grove MN 55369 |
| Mailing Address |
4630 Edgebrook Pl Edina MN 55424 |
| Practice Telephone | 7634201030 |
| Mailing Telephone | 6127010478 |
| Mailing Fax Number | 7634505510 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | CHAD HOLLY KELLY (PRESIDENT) |
| Authorized Official Telephone | 6127010478 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D11493 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| Street Address |
7860 MAIN ST |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720200108 | Twin Cities Orthodontic Specialists | Health Maintenance Organization | 7860 Main St, Maple Grove, MN 55369-7055 | 2007-05-03 |
| 1942401542 | Orthognathic Services Ltd | Health Maintenance Organization | 7860 Main St, Maple Grove, MN 55369-7055 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629560677 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 9325 Upland Ln N Ste 330, Maple Grove, MN 55369-4462 | 2018-06-05 |
| 1841575057 | William Joseph Kottemann | Dentist | 13998 Maple Knoll Way Ste 102, Maple Grove, MN 55369-7004 | 2011-10-19 |
| 1518081082 | Ocg Ltd | Dentist | 13784 83rd Way N, Maple Grove, MN 55369-7192 | 2007-03-19 |
| 1467586727 | Andrew E Helmich | Dentist | 6810 Hemlock Ln N, Maple Grove, MN 55369-5502 | 2007-03-16 |
| 1053609115 | Scott Kottemann | Dentist | 13998 Maple Knoll Way, Suite 102, Maple Grove, MN 55369-7004 | 2011-07-11 |
| 1790819050 | Mark M Dale | Dentist | 6810 Hemlock Ln N, Maple Grove, MN 55369-5502 | 2007-03-16 |
| 1013041383 | Paul M Hobday | Dentist | 6810 Hemlock Ln N, Maple Grove, MN 55369-5502 | 2007-03-16 |
| 1154455426 | Accorde Orthodontists | Dentist | 6810 Hemlock Ln N, Maple Grove, MN 55369-5502 | 2007-03-16 |
| 1265535868 | Kottemann Orthodontics Pa | Dentist | 13998 Maple Knoll Way, Suite 102, Maple Grove, MN 55369-7004 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100974 | Candid Minnesota, Pllc | Dentist | 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 | 2020-09-23 |
| 1518572916 | Smile Orthodontics Stillwater LLC | Dentist | 2008 Ford Pkwy, Saint Paul, MN 55116-1931 | 2020-09-11 |
| 1508476482 | Sensational Smiles | Dentist | 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 | 2020-08-05 |
| 1457969636 | Eden Prairie Orthodontic Assoc | Dentist | 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 | 2020-07-14 |
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1619595220 | Tracy Miao Liang | Dentist | 515 Delaware St Se # 320, Minneapolis, MN 55455-0357 | 2020-07-09 |
| 1477170108 | Jesse N Veil Dds Ms Pa | Dentist | 250 Fuller St S Ste 100, Shakopee, MN 55379-1324 | 2020-06-29 |
| 1124663067 | Bruce William Anderson | Dentist | 2725 Fox Farm Rd, Worthington, MN 56187-3040 | 2019-11-14 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1528622883 | Margaret Therese Anderson | Dentist | 2019 Jefferson Rd Ste C, Northfield, MN 55057-3258 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.