Individual provider · Type 1 NPI

Douglas D. Podoll, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Amery, WI

NPI number 1003952607 Active

Practice location

404 Wisconsin Ave
Amery, WI 54001

Fax (715) 268-4620

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X0003237 (WI)

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 1003952607

Douglas D. Podoll, DDS's National Provider Identifier is 1003952607, issued on Jan 30, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Amery, WI. The record was last updated on Jul 8, 2007.