Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern Orthodontics

Organization Dental Clinic/Center · NPI 1407166317

Northern Orthodontics provides Dental Clinic/Center services in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010

Practice location Address checks out

1109 Moore Lake Dr E
Fridley, MN 55432-5171 Not confirmed with CMS for 16 years — call before visiting
Phone: (651) 351-7777
Fax: (651) 439-2211
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 11236 (MN)

Record details

NPI number1407166317
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Wolff — Owner · (651) 351-7777
NPI enumeratedOctober 13, 2010
Last updated in NPPESOctober 13, 2010
Mailing address13961 60th St N, Stillwater, MN 55082-1053

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