Provider Demographics
NPI:1629150008
Name:NANCY A NORLING DDS PA
Entity type:Organization
Organization Name:NANCY A NORLING DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NORLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:952-544-4129
Mailing Address - Street 1:1660 HIGHWAY 100 S STE 122
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1483
Mailing Address - Country:US
Mailing Address - Phone:952-544-4129
Mailing Address - Fax:952-544-7489
Practice Address - Street 1:1660 HIGHWAY 100 S STE 122
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-1483
Practice Address - Country:US
Practice Address - Phone:952-544-4129
Practice Address - Fax:952-544-7489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty