Estee Wang, DMD Ms, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ESTEE WANG, DMD MS, PLLC

Doing business as

Lakes Orthodontics

Practice address

1668 Cope Ave E
Maplewood, MN 55109-2689

Phone

(651) 777-7300

NPI assigned

Aug 15, 2019

Organization subpart

Yes

Parent organization

ESTEE WANG, DMD MS, PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Estee Wang, DMD MS

Title

Owner

Phone

(651) 765-1945

Specialties & licenses 1

Addresses

Other names 1

• Lakes Orthodontics Doing business as

Part of

Estee Wang DMD Ms PLLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1023664935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 HODGSON RD STE 700",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261955",
            "telephone_number": "651-765-1945",
            "fax_number": "651-765-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 COPE AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092689",
            "telephone_number": "651-777-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4535 Hodgson Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Shoreview",
            "state": "MN",
            "postal_code": "551261955",
            "country_code": "US",
            "telephone_number": "651-765-1945",
            "fax_number": "651-765-1949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESTEE WANG, DMD MS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESTEE WANG, DMD MS, PLLC",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ESTEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-765-1945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.