FAMILY ORTHODONTIC SPECIALISTS PLC
NPI 1104569839
Dentist - Orthodontics and Dentofacial Orthopedics in St Louis Park, MN

Active since April 20, 2022
4959 EXCELSIOR BLVD STE 200, ST LOUIS PARK, MN 55416(952) 920-8774(952) 920-8979 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Orthodontic Specialists Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY ORTHODONTIC SPECIALISTS PLC (NPI 1104569839), doing business as Woodlake Orthodontics St Louis Park, is a healthcare organization registered as an orthodontics and dentofacial orthopedics in St Louis Park, Minnesota and active in the NPI registry since April 2022. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1104569839
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameFAMILY ORTHODONTIC SPECIALISTS PLC
Location Address4959 EXCELSIOR BLVD STE 200St Louis Park, MN 55416-3003
Mailing Address4959 Excelsior Blvd Ste 200St Louis Park, MN 55416-3003 · (952) 920-8774 · Fax (952) 920-8979
Fax(952) 920-8979
Organization SubpartYes
Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
NPI 1104569839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry 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. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
4959 EXCELSIOR BLVD STE 200, St Louis Park, MN 55416

Other Names 1

Doing Business AsWoodlake Orthodontics St Louis Park

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4959 EXCELSIOR BLVD STE 200
ST LOUIS PARK, MN 55416
Dentist (General Practice)
4959 EXCELSIOR BLVD STE 200
ST LOUIS PARK, MN 55416
Dentist
4959 EXCELSIOR BLVD STE 200
SAINT LOUIS PARK, MN 55416
Dentist (General Practice)
4959 EXCELSIOR BLVD STE 200
ST LOUIS PARK, MN 55416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Orthodontic Specialists Plc's NPI number?

The NPI number for Family Orthodontic Specialists Plc is 1104569839. It was assigned to this organization in the NPPES registry on April 20, 2022. The provider is doing business as Woodlake Orthodontics St Louis Park.

Where is Family Orthodontic Specialists Plc located?

Family Orthodontic Specialists Plc is located at 4959 Excelsior Blvd Ste 200, St Louis Park, MN 55416. The listed phone number is (952) 920-8774.

What is Family Orthodontic Specialists Plc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Family Orthodontic Specialists Plc was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.