Individual provider · Type 1 NPI

Cody Clinton Phen, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Wilmington, NC

NPI number 1063100691 Active

Practice location

126 Cinema Dr
Wilmington, NC 28403-1490

Call (910) 940-0259 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X13237 (NC)

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 1063100691

Cody Clinton Phen, DMD's National Provider Identifier is 1063100691, issued on May 1, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wilmington, NC. The record was last updated on Jun 30, 2026.