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

Eden Prairie Orthodontic Assoc

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1457969636

Eden Prairie Orthodontic Assoc is an Orthodontics and Dentofacial Orthopedics Dentistry in Eden Prairie, Minnesota. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

8200 Commonwealth Dr # 100
Eden Prairie, MN 55344-5365
Phone: (952) 829-0686
Show map & directions

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 number1457969636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Schultz — Office Manager · (952) 829-0686
NPI enumeratedJuly 14, 2020
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020
Mailing address8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365

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