Individual provider · Type 1 NPI

John Kevin Coghlan, D.D.S, M.S.D.

Orthodontics and Dentofacial Orthopedics Dentistry · Bloomington, IN

NPI number 1093740433 Active

Practice location

2911 E Covenanter Dr
Bloomington, IN 47401-6320

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12008895A (IN)

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 1093740433

John Kevin Coghlan, D.D.S, M.S.D.'s National Provider Identifier is 1093740433, issued on Jul 12, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bloomington, IN. The record was last updated on Jul 8, 2007.