Individual provider · Type 1 NPI

Russell Sandman, DMD, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Jamaica, NY

NPI number 1023154341 Active

Practice location

17331 Jamaica Ave
Jamaica, NY 11432-5523

Mailing address

58 W 58th St Apt 17D
New York, NY 10019-2509

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X0515411 (NY)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X22DI02309200 (NJ)

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 1023154341

Russell Sandman, DMD, MS's National Provider Identifier is 1023154341, issued on Jan 30, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jamaica, NY. The record was last updated on Jul 8, 2007.