Family Orthodontic Specialists PLC
NPI 1104569839 · Orthodontics and Dentofacial Orthopedics Dentistry · St Louis Park, MN
Family Orthodontic Specialists PLC is a Orthodontics and Dentofacial Orthopedics Dentistry organization in St Louis Park, MN (NPI 1104569839).
Provider details
- NPI number
- 1104569839
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Parent organization
- Family Orthodontic Specialists PLC
- Organization subpart
- Yes
- Authorized official
- Celia Hayes, Credentialing Coordinator(217) 540-2100
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Woodlake Orthodontics St Louis Park
Registry dates
- Enumerated
- 2022-04-20
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Frequently asked questions
- What is Family Orthodontic Specialists PLC's NPI number?
- Family Orthodontic Specialists PLC's National Provider Identifier (NPI) is 1104569839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Orthodontic Specialists PLC?
- Family Orthodontic Specialists PLC is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Family Orthodontic Specialists PLC located?
- Family Orthodontic Specialists PLC's practice location on file with NPPES is 4959 Excelsior Blvd Ste 200, St Louis Park, MN 55416-3003.
- What is Family Orthodontic Specialists PLC's phone number?
- The practice phone number listed in the NPPES registry for Family Orthodontic Specialists PLC is (952) 920-8774.
- Who is the authorized official for Family Orthodontic Specialists PLC?
- The authorized official listed on Family Orthodontic Specialists PLC's NPPES record is Celia Hayes, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Orthodontic Specialists PLC's NPI active?
- Yes — Family Orthodontic Specialists PLC's NPI (1104569839) is active in the NPPES registry as of the last update on 2022-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.