Organization · Type 2 NPI

Odontotech, PC

Orthodontics and Dentofacial Orthopedics Dentistry · Inver Grove Heights, MN

NPI number 1063974780 Active

Practice location

5870 Blackshire Path
Inver Grove Heights, MN 55076-1620

Fax (651) 760-4333

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed
Dental Clinic/Center 261QD0000XNone listed

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 1063974780

Odontotech, PC's National Provider Identifier is 1063974780, issued on Apr 2, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Inver Grove Heights, MN. The record was last updated on May 13, 2019.