Organization · Type 2 NPI

Douglas D Podoll DDS SC

Orthodontics and Dentofacial Orthopedics Dentistry · Baldwin, WI

NPI number 1063563674 Active

Practice location

1460 10th Ave
Baldwin, WI 54002

Fax (715) 684-5968

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X3237 (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 1063563674

Douglas D Podoll DDS SC's National Provider Identifier is 1063563674, issued on Jan 12, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Baldwin, WI. The record was last updated on Aug 22, 2020.