White 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.