Individual provider · Type 1 NPI

Brian R. Degise, DDS, PC

Orthodontics and Dentofacial Orthopedics Dentistry · Peoria, IL

NPI number 1083708648 Active

Practice location

1318 W Candletree Dr
Peoria, IL 61614-1586

Fax (309) 693-6471

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None 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 1083708648

Brian R. Degise, DDS, PC's National Provider Identifier is 1083708648, issued on Oct 3, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.