White Bear Lake Orthodontics

LBN: White Bear Lake Orthodontics
White Bear Lake Orthodontics is an health care organization with primary practice located at 4437 Lake Ave S , White Bear Lake MN 55110-3455. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. White Bear Lake Orthodontics can be contacted via phone (763) 999-0055, or through Smith, Tamara via phone (763) 999-0055.

Contact Information

Primary practice address
4437 Lake Ave S White Bear Lake MN 55110-3455
Phone: (763) 999-0055
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Tamara DDS, MSD
Phone: (763) 999-0055

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1730782467
LBN Legal business name White Bear Lake Orthodontics
DBA Doing business as
Authorized official Smith, Tamara DDS, MSD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730782467 NPPES
Minnesota MEDICAID 1376821157

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