EDINA ORTHODONTIC ASSOCIATES
NPI 1447506571
Dentist - Orthodontics and Dentofacial Orthopedics in Edina, MN

Active since July 26, 2012
3939 W. 50TH ST, SUITE #207, EDINA, MN 55424(952) 926-2335(952) 925-0467 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edina Orthodontic Associates NPPES

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

EDINA ORTHODONTIC ASSOCIATES (NPI 1447506571) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Edina, Minnesota and active in the NPI registry since July 2012. The organization lists Scott Robert Bowlby, Managing Partner/orthodontist, as its authorized official.

NPPES Registry Identity

NPI1447506571
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameGERALD D. CAVANAUGH & WILLIAM F. LILJEMARK
Location Address3939 W. 50TH ST, SUITE #207Edina, MN 55424-1258
Mailing Address3939 W. 50th St, Suite #207Edina, MN 55424-1258 · (952) 926-2335 · Fax (952) 925-0467
Fax(952) 925-0467
Organization SubpartNo
Authorized OfficialScott Robert BowlbyManaging Partner/orthodontist · (952) 926-2335
Enumeration DateJuly 26, 2012
NPI 1447506571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MN · D11240,9023,10908AND
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.

3939 W. 50TH ST, Edina, MN 55424

Other Names 1

Doing Business AsEdina Orthodontic Associates

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 SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447506571, enumerated as an "organization" on July 26, 2012.

The provider is located at 3939 W. 50TH ST SUITE #207 EDINA, MN 55424 and the phone number is (952) 926-2335.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.