Organization
MINNESOTA ORTHODONTICS
Active
Organization
MINNESOTA ORTHODONTICS
Active
Other names
Northfield Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA L BLEVINS DDS MS (OWNER/PRESIDENT)
(651) 714-4987
Entity
Organization
Contact information
Practice address
3100 WOODBURY DR, WOODBURY, MN 55129-9600
(651) 714-4987
(651) 730-0415
Mailing address
3100 WOODBURY DR, WOODBURY, MN 55129-9600
(651) 450-7273
(507) 645-1684
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10244
MN
Other
Enumeration date
06/11/2006
Last updated
09/15/2020
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