OrganizationActive
Family Orthodontic Specialists PLC
NPI 1164165890 · General Practice Dentistry · Shakopee, MN
Family Orthodontic Specialists PLC is a General Practice Dentistry organization in Shakopee, MN (NPI 1164165890).
Provider details
- NPI number
- 1164165890
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Family Orthodontic Specialists PLC
- Organization subpart
- Yes
- Authorized official
- Celia Hayes, Credentialing Coordinator(217) 540-2100
Practice location
1759 17th Ave E
Shakopee, MN 55379-3372
Phone: (952) 746-8996
Fax: (952) 746-8996
Street-level locationGet directions
Mailing address
1759 17th Ave E
Shakopee, MN 55379-3372
Registry dates
- Enumerated
- 2022-04-20
- Last updated
- 2022-04-20
- Certified
- 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.