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NORTHERN ORTHODONTICS
NPI 1659670362
Clinic/Center - Dental in Fridley, MN

Active since March 21, 2011
1109 EAST MOORE LAKE DRIVE, FRIDLEY, MN 55432(651) 439-2600(651) 439-2211 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern Orthodontics NPPES

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

NORTHERN ORTHODONTICS (NPI 1659670362) is a healthcare organization registered as a dental in Fridley, Minnesota and active in the NPI registry since March 2011. The organization lists Doug S Wolff, Owner, as its authorized official.

NPPES Registry Identity

NPI1659670362
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNORTHERN ORTHODONTICS
Location Address1109 EAST MOORE LAKE DRIVEFridley, MN 55432
Mailing Address1109 East Moore Lake DriveFridley, MN 55432 · (651) 439-2600 · Fax (651) 439-2211
Phone(651) 439-2600
Fax(651) 439-2211
Organization SubpartYesParent: St. Croix Valley Dental, Pllc
Authorized OfficialDoug S WolffOwner · (651) 439-2600
Enumeration DateMarch 21, 2011
✔ NPI 1659670362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentistTaxonomy 122300000X · License D111236 (MN)
1109 EAST MOORE LAKE DRIVE, Fridley, MN 55432
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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

Other Providers at the Same Location NPPES

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

MINNEAPOLIS-ST. PAUL PERIODONTICS
Dentist (Periodontics)
1109 EAST MOORE LAKE DRIVE
FRIDLEY, MN 55432
Anoka County (651) 439-2600

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 1659670362. It was assigned to this organization in the NPPES registry on March 21, 2011.

Where is Northern Orthodontics located?

Northern Orthodontics is located at 1109 East Moore Lake Drive, Fridley, MN 55432. The listed phone number is (651) 439-2600.

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 March 21, 2011. 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.