EDEN PRAIRIE ORTHODONTIC ASSOC
NPI 1457969636
Dentist - Orthodontics and Dentofacial Orthopedics in Eden Prairie, MN

Active since July 14, 2020
8200 COMMONWEALTH DR # 100, EDEN PRAIRIE, MN 55344(952) 829-0686 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eden Prairie Orthodontic Assoc NPPES

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

EDEN PRAIRIE ORTHODONTIC ASSOC (NPI 1457969636) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Eden Prairie, Minnesota and active in the NPI registry since July 2020. The organization lists Diane Schultz, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1457969636
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameEDEN PRAIRIE ORTHODONTIC ASSOC
Location Address8200 COMMONWEALTH DR # 100Eden Prairie, MN 55344-5365
Mailing Address8200 Commonwealth Dr # 100Eden Prairie, MN 55344-5365 · (952) 829-0686
Organization SubpartNo
Authorized OfficialDiane SchultzOffice Manager · (952) 829-0686
Enumeration DateJuly 14, 2020
NPPES CertifiedJuly 14, 2020
NPI 1457969636 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.
8200 COMMONWEALTH DR # 100, Eden Prairie, MN 55344

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 NPPES & CMS

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

What is Eden Prairie Orthodontic Assoc's NPI number?

The NPI number for Eden Prairie Orthodontic Assoc is 1457969636. It was assigned to this organization in the NPPES registry on July 14, 2020.

Where is Eden Prairie Orthodontic Assoc located?

Eden Prairie Orthodontic Assoc is located at 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344. The listed phone number is (952) 829-0686.

What is Eden Prairie Orthodontic Assoc'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 Eden Prairie Orthodontic Assoc was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.