Individual provider · Type 1 NPI

William L. Mastorakos, DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · St. Louis, MO

NPI number 1063527604 Active

Practice location

10115 Manchester Rd, Ste 200
St. Louis, MO 63122

Fax (314) 966-8630

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	013600 (MO)

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 1063527604

William L. Mastorakos, DDS MS's National Provider Identifier is 1063527604, issued on Aug 21, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.