Todd A Thayer DDS Ms PA
Dentist, Orthodontics and Dentofacial Orthopedics in St Paul, MN. Organization (NPI-2).
NPI number1407923733
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1407923733
- Entity type
- Organization (NPI-2)
- Legal business name
- Todd A Thayer DDS Ms PA
- Organization subpart
- No
- Enumeration date
- Nov 30, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | MN10589 | MN | Yes |
Other names
- Thayer Orthodontics (Doing Business As)
Practice location
1050 Larpeuteur Avenue WestSt Paul, MN 55113-6556
Phone 651-488-5622 · Fax 651-489-2856
Mailing address
1050 Larpeuteur Avenue WestSt Paul, MN 55113-6556
Phone 651-488-5622 · Fax 651-489-2856
Authorized official
Todd Anthony Thayer
President Orthodontist
6514885622
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All 5 Orthodontics and Dentofacial Orthopedics Dentistry providers in St Paul · All 977 providers in St Paul
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