Organization
ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C.
Active
Organization
ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C.
Active
Other names
The Dental Specialists-Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GULON DDS (PRESIDENT)
(651) 746-2815
Entity
Organization
Contact information
Practice address
1109 MOORE LAKE DR E, FRIDLEY, MN 55432
(763) 572-2224
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(651) 746-2815
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
10/28/2020
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