is a Orthodontics and Dentofacial Clinic in White Bear Lake, Minnesota. It is located at 4886 Highway 61 N, White Bear Lake, MN and its contact number is 651-762-9543. The authorized person for is Karie T Graden
who is Director Of Operations of the clinic and their contact number is 952-432-1103. Clinic is 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.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
4886 Highway 61 N, White Bear Lake, Minnesota, 55110-2857
Phone:
651-762-9543
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Karie T Graden
Position:
Director Of Operations
Contact Number:
952-432-1103
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1396869863
NPI Enumeration Date:
19 Mar, 2007
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
Minnesota
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
14605 Glazier Ave, Apple Valley, Minnesota
Zip:
55124-7545
Phone Number:
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Patients can reach at 4886 Highway 61 N, White Bear Lake, Minnesota or can call to book an appointment on 651-762-9543. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.