Organization
LAKE MINNETONKA ORTHDONTICS
Active
Organization
LAKE MINNETONKA ORTHDONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN J RENNER CPA (ACCOUNTANT)
(952) 933-8444
Entity
Organization
Contact information
Practice address
11601 MINNETONKA MILLS RD, MINNETONKA, MN 55305-5161
(952) 938-1443
Mailing address
11601 MINNETONKA MILLS RD, MINNETONKA, MN 55305-5161
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7094
MN
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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