Individual provider · Type 1 NPI

Tina Patel

Orthodontics and Dentofacial Orthopedics Dentistry · Decatur, GA

NPI number 1063655827 Active

Practice location

200 E Ponce De Leon Ave
Decatur, GA 30030-3466

Mailing address

325 E Paces Ferry Rd NE, 1102
Atlanta, GA 30305-5709

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X0024271 (TX)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDN013835 (GA)

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 1063655827

Tina Patel's National Provider Identifier is 1063655827, issued on Apr 9, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Decatur, GA. The record was last updated on Oct 28, 2010.