Individual provider · Type 1 NPI

Russell J. Guymon, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Logan, UT

NPI number 1003133174 Active

Practice location

191 N 200 E
Logan, UT 84321-4605

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XD-4402-OR (ID)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X8908035 (UT)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1003133174

Russell J. Guymon, DDS, M.S.'s National Provider Identifier is 1003133174, issued on Apr 28, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Logan, UT. The record was last updated on Oct 20, 2014.