Brainerd Area Orthodontics, LLC – Dentist

Key facts

NPI: 1730517954
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
License: 10906 (MN)
Legal business name: BRAINERD AREA ORTHODONTICS, LLC
Practice address: 13367 Isle Dr
Suite 2
Baxter, MN 56425-2221
Phone: (218) 838-2650
Fax: (218) 454-2672
NPI assigned: Oct 25, 2013
Organization subpart: No

Authorized official

Name: Dr. Stephen William Colby, DDS, MS, PA
Title: Owner
Phone: (218) 838-2650

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Ryan John Mueller, DDS Orthodontics and Dentofacial Orthopedics Dentistry · Baxter, MN · NPI 1902150428

NPD (past)

National Provider Directory

Locations

13367 Isle Dr
Ste 2
Baxter, MN 56425
Phone (218) 838-2650

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	122300000X	10906	MN	Yes
Dentist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	122300000X	13161	MN

Addresses

Primary practice location

13367 Isle Dr
Suite 2
Baxter, MN 56425-2221

Mailing address

13367 Isle Dr
Suite 2
Baxter, MN 56425-2221
Phone (218) 838-2650

Other names

Colby-Mueller Orthodontics Doing business as

Other providers in Baxter, MN

All providers in Baxter, MN · Dentist in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.