Smile Orthodontics Stillwater, LLC

NPI #1457064818 in Elk River, Minnesota

Provider Information

NPI Number: 1457064818
Entity Type: Organization
Organization Name: Smile Orthodontics Stillwater, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SMILE ORTHODONTICS STILLWATER, LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Dec 30, 2022
Last Updated: Jan 2, 2023

Practice Location

Address: 305 MAIN ST NW
City: Elk River
State: Minnesota
ZIP Code: 55330-1531
Phone: (651) 351-7777

Authorized Official

Name: DOUGLAS WOLFF, DDS
Title: OWNER/DDS
Phone: (651) 351-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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