Organization · Type 2 NPI
Timothy P. Reardon D.d.s., M.s.
Orthodontics and Dentofacial Orthopedics Dentistry · Las Vegas, NV
Practice location
8490 S Eastern Ave Ste A
Las Vegas, NV 89123-2806
Fax (702) 260-8251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 64270 (NV) |
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 1023158375
Timothy P. Reardon D.d.s., M.s.'s National Provider Identifier is 1023158375, issued on Feb 7, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 22, 2020.