Organization · Type 2 NPI
Gordon Pratt JR DDS MS PA
Orthodontics and Dentofacial Orthopedics Dentistry · Bryan, TX
Practice location
2011C E Villa Maria
Bryan, TX 77802
Fax (979) 776-1335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 10443 (TX) |
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…
About NPI 1003983453
Gordon Pratt JR DDS MS PA's National Provider Identifier is 1003983453, issued on Nov 29, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bryan, TX. The record was last updated on Jan 25, 2012.