Organization
DENTALIGN P.A.
Active
Organization
DENTALIGN P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HOLLY KELLY D.M.D. (PRESIDENT)
(612) 701-0478
Entity
Organization
Contact information
Practice address
7860 MAIN ST, MAPLE GROVE, MN 55369
(763) 420-1030
Mailing address
4630 EDGEBROOK PL, EDINA, MN 55424
(612) 701-0478
(763) 450-5510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11493
MN
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up