Provider Demographics
NPI:1699865113
Name:NORLING, NANCY ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANN
Last Name:NORLING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN77649NOOtherBCBS
00523797OtherUNITED CONCORDIA