OrganizationActive
A-Team Orthodontics, PLLC
NPI 1619345170 · Orthodontics and Dentofacial Orthopedics Dentistry · Spring Lake Park, MN
Provider details
- NPI number
- 1619345170
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Alisa Madson, Member
- License
- D12091 (MN)
Practice location
1130 County Road 10
Spring Lake Park, MN 55432-1261
Phone: (763) 784-0420
Mailing address
1130 County Road 10
Spring Lake Park, MN 55432-1261
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2015-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.