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

Forest Lake Orthodontics

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1023452638

Forest Lake Orthodontics is an Orthodontics and Dentofacial Orthopedics Dentistry in Forest Lake, Minnesota. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

25 Lake St N Ste 135
Forest Lake, MN 55025-2535
Phone: (651) 464-1151
Fax: (651) 464-0620
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 number1023452638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Wille — President/Orthodontist · (651) 464-1151
Other names Travis W. Wille, Dds, Ms
NPI enumeratedApril 25, 2013
Last updated in NPPESApril 25, 2013
Mailing address25 Lake St N, Suite 135, Forest Lake, MN 55025-2535

Other providers in Forest Lake