ERICKSON/AAMODT ORTHODONTICS, P.A.


Address: 4790 White Bear Pkwy, White Bear Lake, MN 55110-3336
Phone: 6514263873

ERICKSON/AAMODT ORTHODONTICS, P.A. (NPI# 1417115189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417115189
Entity Type Organization
Organization Name ERICKSON/AAMODT ORTHODONTICS, P.A.
Practice Address 4790 White Bear Pkwy
White Bear Lake
MN 55110-3336
Practice Telephone 6514263873
Practice Fax Number 6516535790
Mailing Telephone 6514263873
Mailing Fax Number 6516535790
Enumeration Date 2008-05-29
Last Update Date 2008-05-29
Authorized Official Name DR. KEITH ROBERT ERICKSON (PRESIDENT)
Authorized Official Telephone 6514263873
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
D9558 MN Dental Providers

Office Location

Street Address 4790 WHITE BEAR PKWY
City WHITE BEAR LAKE
State MN
Zip Code 55110-3336

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NPI Name Taxonomy Address Enumeration
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1124486246 Julie Blaske Counselor 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 2016-02-03
1851761514 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 1920 Buerkle Rd, White Bear Lake, MN 55110 2015-10-06
1821496969 Leah Eichmiller Acupuncturist 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 2014-12-05
1447672084 Ashley Rath Chiropractor 1247 Gun Club Rd., White Bear Lake, MN 55110 2014-01-16
1790121291 Advanced Medical Home Care, LLC Home Health 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 2013-05-11
1134468465 Emergency Physicians Professional Association Clinic/Center 1159 E. County Road E, Vadnais Heights, MN 55110 2013-02-06
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396869863 Orthodontic Care Group Dentist 4886 Highway 61 N, White Bear Lake, MN 55110-2857 2007-03-19
1174677710 Wendy L. Sydlewski Dentist 2126 5th St, White Bear Lake, MN 55110-2717 2007-01-22
1124123328 Kent C Gulden Dentist 4437 Lake Ave S, White Bear Lake, MN 55110-3455 2006-09-13

Providers in the same taxonomy and state

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
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Competitor

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City WHITE BEAR LAKE
Zip Code 55110

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Dataset Information

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.

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