Individual provider · Type 1 NPI

Mark D. Lenz, DDS, MS, SC

Orthodontics and Dentofacial Orthopedics Dentistry · Racine, WI

NPI number 1053409680 Active

Practice location

1558 S Greenbay Rd
Racine, WI 53406-4410

Fax (262) 634-6786

Mailing address

3701 Spring Lake Dr
Racine, WI 53405-4926

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2987-015 (WI)

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 1053409680

Mark D. Lenz, DDS, MS, SC's National Provider Identifier is 1053409680, issued on Oct 10, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Racine, WI. The record was last updated on Jul 8, 2007.