Organization · Type 2 NPI

Deerwood Orthodontics, LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Appleton, WI

NPI number 1033249289 Active

Practice location

3030 N Ballard Rd
Appleton, WI 54911-8707

Fax (920) 954-9080

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

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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NPI record

NPI: 1033249289
Entity type: Organization (Type 2)
Issued: Mar 6, 2007
Last updated: Mar 14, 2022
Status: Active
Subpart: Yes of Deerwood Orthodontics, LLC

Other names

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Deerwood Orthodontics Appleton · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

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About NPI 1033249289

Deerwood Orthodontics, LLC's National Provider Identifier is 1033249289, issued on Mar 6, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Appleton, WI. The record was last updated on Mar 14, 2022.