Prior Lake Orthodontics is a Orthodontics and Dentofacial Clinic in Prior Lake, Minnesota. This organization is also known as sub part of Basile Orthodontics Pa. It is located at 5116 Gateway Street Se #103, Suite #103, Prior Lake, MN and its contact number is 952-447-6088. The authorized person for Prior Lake Orthodontics is Dr. Joseph Samuel Basile Iii
who is Orthodontist of the clinic and their contact number is 952-454-5345. The primary license number for Prior Lake Orthodontics is MN10983 (Orthodontics and Dentofacial Orthopedics) in Minnesota. Prior Lake Orthodontics 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:
Prior Lake Orthodontics Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Prior Lake Orthodontics
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
5116 Gateway Street Se #103, Suite #103, Prior Lake, Minnesota, 55372
Phone:
952-447-6088
Fax:
952-447-6099
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:
Dr. Joseph Samuel Basile Iii
Position:
Orthodontist
Contact Number:
952-454-5345
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 Prior Lake Orthodontics clinic are as mentioned below.
NPI Number:
1679618326
Parent Organization:
Basile Orthodontics Pa
NPI Enumeration Date:
20 Feb, 2007
NPI Last Update On:
17 Feb, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prior Lake Orthodontics are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
MN10983
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:
Prior Lake Orthodontics 5116 Gateway St. S.e., Suite 103 Prior Lake, Minnesota
Zip:
55372
Phone Number:
952-447-6088
Fax Number:
952-447-6099
Patients can reach Prior Lake Orthodontics at 5116 Gateway Street Se #103, Suite #103, Prior Lake, Minnesota or can call to book an appointment on 952-447-6088. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.