Organization Active NPI

Smile Doctors of Minnesota PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albert Lea, MN
National Provider Identifier
1255974325
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMILE DOCTORS OF MINNESOTA PC
Practice address
1651 W Main St
Albert Lea, MN 56007-1868
Phone
(507) 377-0222
NPI assigned
Oct 22, 2019
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Scott V LawNPI 1609998855
Title
Owner/President
Phone
(719) 569-5715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

1651 W Main St
Albert Lea, MN 56007-1868

Mailing address

5400 LBJ Fwy Ste 800
Dallas, TX 75240-1058
Phone (254) 727-3131

Other practice location 1

404 S Main St
Zumbrota, MN 55992-1601
Phone (507) 732-7312

Other practice location 2

1820 Market Dr
Stillwater, MN 55082-7580
Phone (651) 439-3350

Other practice location 3

4535 Hodgson Rd Ste 700
Shoreview, MN 55126-1955
Phone (651) 765-1945

Other practice location 4

1696 Grand Ave
Saint Paul, MN 55105-1806
Phone (651) 699-2013

Other practice location 5

475 26th St NE
Owatonna, MN 55060-1346
Phone (507) 451-5993

Other practice location 6

1531 Clinton Ln
Northfield, MN 55057-3295
Phone (507) 581-8575

Other practice location 7

1668 Cope Ave E
Maplewood, MN 55109-2655
Phone (651) 777-7300

Other practice location 8

3340 Sherman Ct Ste 200
Eagan, MN 55121-5013
Phone (651) 406-8100

Other practice location 9

621 E 7th St
Blue Earth, MN 56013-2516
Phone (507) 526-2171

Other practice location 10

14065 Essex Ave
Apple Valley, MN 55124-6857
Phone (952) 423-1909

National Provider Directory

National Provider Directory

Locations

1651 W Main St
Albert Lea, MN 56007
Phone (507) 377-0222

14065 Essex Ave
Apple Valley, MN 55124
Phone (952) 423-1909

3340 Sherman Ct
Ste 200
Eagan, MN 55121
Phone (651) 406-8100

1696 Grand Ave
Saint Paul, MN 55105
Phone (651) 699-2013

1820 Market Dr
Stillwater, MN 55082
Phone (651) 439-3350

295 SE Inner Loop
Georgetown, TX 78626

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1255974325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LBJ FWY STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401058",
            "telephone_number": "254-727-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W MAIN ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071868",
            "telephone_number": "507-377-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 S Main St",
            "address_purpose": "LOCATION",
            "city": "Zumbrota",
            "state": "MN",
            "postal_code": "559921601",
            "country_code": "US",
            "telephone_number": "507-732-7312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 Market Dr",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550827580",
            "country_code": "US",
            "telephone_number": "651-439-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1696 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551051806",
            "country_code": "US",
            "telephone_number": "651-699-2013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 26th St NE",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550601346",
            "country_code": "US",
            "telephone_number": "507-451-5993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1531 Clinton Ln",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "550573295",
            "country_code": "US",
            "telephone_number": "507-581-8575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1668 Cope Ave E",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551092655",
            "country_code": "US",
            "telephone_number": "651-777-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3340 Sherman Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551215013",
            "country_code": "US",
            "telephone_number": "651-406-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Blue Earth",
            "state": "MN",
            "postal_code": "560132516",
            "country_code": "US",
            "telephone_number": "507-526-2171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14065 Essex Ave",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551246857",
            "country_code": "US",
            "telephone_number": "952-423-1909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE DOCTORS OF MINNESOTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "719-569-5715"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.