Straight Smiles, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STRAIGHT SMILES, PLLC

Practice address

2200 County Road C W
Suite 2210
Roseville, MN 55113-2550

Phone

(651) 633-0500

Fax

(651) 636-6350

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John Gulon

Title

President

Phone

(651) 633-0500

Specialties & licenses 1

Addresses

Other names 1

• Northern Orthodontics Doing business as

Tax ID family

Northern Orthodontics4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Straight Smiles, PLLC

  • Dental Clinic/Center
  • Stillwater, MN
  • NPI 1215368725
  NPD tax ID
• Straight Smiles, PLLC

  • Dental Clinic/Center
  • Fridley, MN
  • NPI 1679904189
  NPD tax ID
• Straight Smiles, PLLC

  • Dental Clinic/Center
  • Woodbury, MN
  • NPI 1689004772
  NPD tax ID

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1245660331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COUNTY ROAD C W",
            "address_2": "SUITE 2210",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132550",
            "telephone_number": "651-633-0500",
            "fax_number": "651-636-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COUNTY ROAD C W",
            "address_2": "SUITE 2210",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132550",
            "telephone_number": "651-633-0500",
            "fax_number": "651-636-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "GULON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-633-0500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Stocker, PHD, LP
• Isabelle Stoffel
• Matthew Jacob Stolzberg, MD
• Robert M Storevik, P.T.
• Karin Leigh Stoutenburg, D.C.
• Kendall Strand, M.D.
• Beverly Stratton, MA, THD
• Tracey Lue Stretch, BC-HIS
• Kelsey Kathleen Strub
• Sarah Studley

• Dental Clinic/Center in Roseville, MN
• Providers in Roseville, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.