Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Centennial Lakes Orthodontics PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1457979031

Centennial Lakes Orthodontics PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Edina, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7373 France Ave S Ste 400
Edina, MN 55435-4549
Phone: (952) 831-1324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1457979031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Colby — Owner · (952) 831-1324
NPI enumeratedJuly 9, 2020
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address7373 France Ave S Ste 400, Edina, MN 55435-4549

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