Erickson/Aamodt Orthodontics, P.A. in White Bear Lake - Orthodontics And Dentofacial Orthopedics
Erickson/Aamodt Orthodontics, P.A. - NPI 1417115189
Erickson/Aamodt Orthodontics, P.A. is a Orthodontics And Dentofacial Orthopedics in White Bear Lake, Minnesota. Erickson/Aamodt Orthodontics, P.A. practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Erickson/Aamodt Orthodontics, P.A. is 1417115189. The last update date is 2008-05-29.
Erickson/Aamodt Orthodontics, P.A.'s current location address is 4790 White Bear Pkwy, White Bear Lake, Minnesota. You can contact this provider via phone number 6514263873 and fax number 6516535790. The mailing address for Erickson/Aamodt Orthodontics, P.A. is 4790 White Bear Pkwy, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Erickson/Aamodt Orthodontics, P.A. |
|---|---|
| Address | 4790 White Bear Pkwy, White Bear Lake, Minnesota |
| Phone Number | 6514263873 |
| Fax Number | 6516535790 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Erickson Robert Keith |
| Credentials | DDS |
| Telephone Number | 6514263873 |
NPI Number Detail
| NPI Number | 1417115189 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 4790 White Bear Pkwy |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551103336 |
| Phone Number | 6514263873 |
| Fax Number | 6516535790 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D9558 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique identifier code issued to Erickson/Aamodt Orthodontics, P.A. by the Centers for Medicare & Medicaid Services?
The Erickson/Aamodt Orthodontics, P.A. has been assigned the NPI (National Provider Identifier) 1417115189. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Erickson/Aamodt Orthodontics, P.A.?
The Erickson/Aamodt Orthodontics, P.A. is physically situated at 4790 White Bear Pkwy, in the city of White Bear Lake, state of MN, with the postal code 551103336.
What is the Erickson/Aamodt Orthodontics, P.A.'s area of specialization and corresponding taxonomy classification?
The Erickson/Aamodt Orthodontics, P.A.'s specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the Erickson/Aamodt Orthodontics, P.A. receive the assignment of its 1417115189 from the Centers for Medicare & Medicaid Services?
The Erickson/Aamodt Orthodontics, P.A. was issued its 1417115189 by the Centers for Medicare & Medicaid Services on 2008-05-29.
As of what date were the details pertaining to Erickson/Aamodt Orthodontics, P.A. last refreshed?
The information related to the Erickson/Aamodt Orthodontics, P.A., including its address, specialty, and other relevant details, was last updated on 2008-05-29.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY