Individual provider · Type 1 NPI
Keyan Botsford, DMD, MSD
Orthodontics and Dentofacial Orthopedics Dentistry · Medford, OR
Practice location
1625 E Mcandrews Rd Ste B
Medford, OR 97504-5334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D10917 (OR) |
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 1003381914
Keyan Botsford, DMD, MSD's National Provider Identifier is 1003381914, issued on Oct 6, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Medford, OR. The record was last updated on Aug 14, 2019.