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NORTHERN ORTHODONTICS
NPI 1407166317
Clinic/Center - Dental in Fridley, MN

Active since October 13, 2010
1109 MOORE LAKE DR E, FRIDLEY, MN 55432(651) 351-7777(651) 439-2211 Get Directions Write a Review

NPPES record last updated: October 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northern Orthodontics NPPES

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

NORTHERN ORTHODONTICS (NPI 1407166317) is a healthcare organization registered as a dental in Fridley, Minnesota and active in the NPI registry since October 2010. The organization lists Douglas S Wolff, Owner, as its authorized official.

NPPES Registry Identity

NPI1407166317
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNORTHERN ORTHODONTICS
Location Address1109 MOORE LAKE DR EFridley, MN 55432-5171
Mailing Address13961 60th St NStillwater, MN 55082-1053 · (651) 351-7777 · Fax (651) 439-2211
Phone(651) 351-7777
Fax(651) 439-2211
Organization SubpartNo
Authorized OfficialDouglas S WolffOwner · (651) 351-7777
Enumeration DateOctober 13, 2010
✔ NPI 1407166317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MN · 11236
1109 MOORE LAKE DR E, Fridley, MN 55432
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Other Providers at the Same Location NPPES 3

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

DENTAL SPECIALISTS OF MINNESOTA, PLLC
Dentist (Periodontics)
1109 MOORE LAKE DR E
FRIDLEY, MN 55432
Anoka County (763) 571-9990
ORTHODONTIC SPECIALISTS OF MINNESOTA, P.L.L.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
1109 MOORE LAKE DR E
FRIDLEY, MN 55432
Anoka County (763) 572-2224
STRAIGHT SMILES, PLLC
Clinic/Center (Dental)
1109 MOORE LAKE DR E
FRIDLEY, MN 55432
Anoka County (763) 572-2224

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 Northern Orthodontics's NPI number?

The NPI number for Northern Orthodontics is 1407166317. It was assigned to this organization in the NPPES registry on October 13, 2010.

Where is Northern Orthodontics located?

Northern Orthodontics is located at 1109 Moore Lake Dr E, Fridley, MN 55432. The listed phone number is (651) 351-7777.

What is Northern Orthodontics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Northern Orthodontics was last updated on October 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.