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Blaine Orthodontics — NPI 1659031854, Blaine, MN | NPI Central

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NPI 1659031854

OrganizationActive

Blaine Orthodontics

NPI 1659031854 · Dental Clinic/Center · Blaine, MN

Provider details

NPI number: 1659031854
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Tamara Smith, Orthodontist(763) 400-8992

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

10945 Club West Pkwy

Blaine, MN 55449-6253

Phone: (763) 400-8992

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

10945 Club West Pkwy

Blaine, MN 55449-6253

Registry dates

Enumerated: 2021-12-29
Last updated: 2021-12-29
Certified: 2021-12-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.