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

Great River Orthodontic Specialists, SC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1891442174

Great River Orthodontic Specialists, SC is an Orthodontics and Dentofacial Orthopedics Dentistry in Hudson, Wisconsin. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2215 Vine St Ste B
Hudson, WI 54016-5862
Phone: (715) 808-8379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 368 Lake St S Ste 101, Forest Lake, MN 55025-2824 — (651) 464-6988

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1891442174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Amidon — Patient Accounts Mgr · (715) 598-7473
Other names Ross Orthodontics
NPI enumeratedMarch 7, 2022
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address3902 Oakwood Hills Pkwy, Eau Claire, WI 54701-7780

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