Individual provider · Type 1 NPI

Michael Kirshblum

Orthodontics and Dentofacial Orthopedics Dentistry · Deer Park, NY

NPI number 1063291045 Active

Practice location

1990 Deer Park Ave
Deer Park, NY 11729-3303

Call (631) 586-7654 Map

Other practice locations

500 Portion Rd, Ronkonkoma, NY 11779-4587 · (631) 588-1199

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	063491 (NY)

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 1063291045

Michael Kirshblum's National Provider Identifier is 1063291045, issued on Sep 27, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Deer Park, NY. The record was last updated on Sep 27, 2023.