WHITE BEAR LAKE ORTHODONTICS
NPI 1730782467
Dentist - Orthodontics and Dentofacial Orthopedics in White Bear Lake, MN

Active since November 17, 2020
4437 LAKE AVE S, WHITE BEAR LAKE, MN 55110(763) 999-0055 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Bear Lake Orthodontics NPPES

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

WHITE BEAR LAKE ORTHODONTICS (NPI 1730782467) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in White Bear Lake, Minnesota and active in the NPI registry since November 2020. The organization lists Tamara Smith, Owner/orthodontist, as its authorized official.

NPPES Registry Identity

NPI1730782467
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameWHITE BEAR LAKE ORTHODONTICS
Location Address4437 LAKE AVE SWhite Bear Lake, MN 55110-3455
Mailing Address4437 Lake Ave SWhite Bear Lake, MN 55110-3455 · (763) 999-0055
Organization SubpartNo
Authorized OfficialTamara SmithOwner/orthodontist · (763) 999-0055
Enumeration DateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
NPI 1730782467 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.
4437 LAKE AVE S, White Bear Lake, MN 55110

Other Identifiers 1

Medicaid1376821157MN

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 2

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

Dentist (Orthodontics and Dentofacial Orthopedics)
4437 LAKE AVE S
WHITE BEAR LAKE, MN 55110
Dentist (Endodontics)
4437 LAKE AVE S
WHITE BEAR LAKE, MN 55110

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 White Bear Lake Orthodontics's NPI number?

The NPI number for White Bear Lake Orthodontics is 1730782467. It was assigned to this organization in the NPPES registry on November 17, 2020.

Where is White Bear Lake Orthodontics located?

White Bear Lake Orthodontics is located at 4437 Lake Ave S, White Bear Lake, MN 55110. The listed phone number is (763) 999-0055.

What is White Bear Lake Orthodontics'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 White Bear Lake Orthodontics was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.