White Bear Lake Orthodontics
Orthodontics and Dentofacial Clinic
4437 Lake Ave S, White Bear Lake
Minnesota, 55110-3455
763-999-0055 Maps & DirectionsWhite Bear Lake Orthodontics is a Orthodontics and Dentofacial Clinic in White Bear Lake, Minnesota. It is located at 4437 Lake Ave S, White Bear Lake, MN and its contact number is 763-999-0055. The authorized person for White Bear Lake Orthodontics is Tamara Smith
who is Owner/orthodontist of the clinic and their contact number is 763-999-0055.
White Bear 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:
White Bear 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: | White Bear Lake Orthodontics |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 4437 Lake Ave S, White Bear Lake,
Minnesota, 55110-3455 |
| Phone: | 763-999-0055 |
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: | Tamara Smith |
| Position: | Owner/orthodontist |
| Contact Number: | 763-999-0055 |
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 White Bear Lake Orthodontics clinic are as mentioned below.
| NPI Number: | 1730782467 |
| NPI Enumeration Date: | 17 Nov, 2020 |
| NPI Last Update On: | 17 Nov, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for White Bear Lake Orthodontics are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1376821157 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | White Bear Lake Orthodontics
4437 Lake Ave S,
White Bear Lake, Minnesota |
| Zip: | 55110-3455 |
| Phone Number: | 763-999-0055 |
Patients can reach White Bear Lake Orthodontics at
4437 Lake Ave S, White Bear Lake, Minnesota or can
call to book an appointment on 763-999-0055.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.