Individual provider · Type 1 NPI

Michael Thomas Depascale, DMD, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Mystic, CT

NPI number 1043747116 Active

Practice location

117 Cow Hill Rd
Mystic, CT 06355-1449

Mailing address

1231 Van Buren Dr
Annapolis, MD 21403-2132

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X11807 (CT)

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 1043747116

Michael Thomas Depascale, DMD, MS's National Provider Identifier is 1043747116, issued on May 19, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mystic, CT. The record was last updated on May 19, 2017.