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

White Bear Lake Orthodontics

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1730782467

White Bear Lake Orthodontics is an Orthodontics and Dentofacial Orthopedics Dentistry in White Bear Lake, Minnesota. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

4437 Lake Ave S
White Bear Lake, MN 55110-3455
Phone: (763) 999-0055
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 number1730782467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Smith — Owner/Orthodontist · (763) 999-0055
NPI enumeratedNovember 17, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020
Mailing address4437 Lake Ave S, White Bear Lake, MN 55110-3455

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