OrganizationActive
Northern Orthodontics
NPI 1659670362 · Dental Clinic/Center · Fridley, MN
Provider details
- NPI number
- 1659670362
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- St. Croix Valley Dental, PLLC
- Organization subpart
- Yes
- Authorized official
- Doug Wolff, Owner(651) 439-2600
- License
- D111236 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1109 East Moore Lake Drive
Fridley, MN 55432
Phone: (651) 439-2600
Fax: (651) 439-2211
Street-level locationGet directions
Mailing address
1109 East Moore Lake Drive
Fridley, MN 55432
Registry dates
- Enumerated
- 2011-03-21
- Last updated
- 2011-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.