Individual provider · Type 1 NPI

Juan Faja-Fernandez, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Myrtle Beach, SC

NPI number 1053754127 Active

Practice location

107 Surgeons Drive
Myrtle Beach, SC 29579

Mailing address

PO Box 13799
Florence, SC 29504-3799

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X4461 (SC)

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 1053754127

Juan Faja-Fernandez, DMD's National Provider Identifier is 1053754127, issued on Apr 9, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Myrtle Beach, SC. The record was last updated on Apr 9, 2013.