SMILE ORTHODONTICS STILLWATER LLC (NPI# 1356854442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356854442 |
| Entity Type | Organization |
| Organization Name | SMILE ORTHODONTICS STILLWATER LLC |
| Other Organization Name | SM:)E ORTHO |
| Practice Address |
3007 Lyndale Ave S Minneapolis MN 55408-2935 |
| Mailing Address |
1041 Grand Ave # 531 Saint Paul MN 55105-3002 |
| Practice Telephone | 6513517777 |
| Mailing Telephone | 6513517777 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | DR. DOUGLAS STEVEN WOLFF (DENTIST) |
| Authorized Official Telephone | 6513517777 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D11236 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Sm:)e Ortho | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1670 Beam Ave Ste 202, Maplewood, MN 551091225 | 6513517777 | |
| 105 New England Pl Ste 120, Stillwater, MN 550826683 | 6503517777 | |
| 13961 60th St N, Stillwater, MN 55082 | 6513517777 | |
| 3007 Lyndale Ave S, Minneapolis, MN 554082935 | 6513517777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572916 | Smile Orthodontics Stillwater LLC | Dentist | 2008 Ford Pkwy, Saint Paul, MN 55116-1931 | 2020-09-11 |
| Street Address |
3007 LYNDALE AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780690982 | Douglas Steven Wolff | Dentist | 3007 Lyndale Ave S, Minneapolis, MN 55408-2935 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| 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 |
|---|---|---|---|---|
| 1871100974 | Candid Minnesota, Pllc | Dentist | 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 | 2020-09-23 |
| 1508476482 | Sensational Smiles | Dentist | 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 | 2020-08-05 |
| 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 |
| 1689081978 | Charlene Tai | Dentist | 2841 Bryant Ave S Apt 433, Minneapolis, MN 55408-4894 | 2014-07-17 |
| 1033542097 | Rebecca Ann Schnitt | Dentist | 515 Deleware Street S.e., 6-320 Moos Health Sciences Tower, Minneapolis, MN 55455 | 2013-08-14 |
| 1972839801 | Kelly Christine Espe | Dentist | 3218 4th St Se, Minneapolis, MN 55414-3320 | 2009-10-28 |
| 1881886919 | Benjamin Tobias Pliska | Dentist | 1314 Marquette Ave Apt 1303, Minneapolis, MN 55403-4112 | 2007-08-13 |
| 1306912225 | Andrew John Wahl | Dentist | 3901 Silver Lake Rd Ne, Minneapolis, MN 55421-4352 | 2006-11-24 |
| 1073529103 | David Wayne Zemke | Dentist | 3359 West Broadway, Minneapolis, MN 55422-2938 | 2006-07-31 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
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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.