Individual provider · Type 1 NPI

Hank R. Dallam, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Stockbridge, GA

NPI number 1114069424 Active

Practice location

1040 Eagles Landing Pkwy, Suite 200
Stockbridge, GA 30281-9072

Fax (770) 441-0299

Mailing address

1611 Waterford Lndg
Mcdonough, GA 30253-7726

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN013071 (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 1114069424

Hank R. Dallam, DMD's National Provider Identifier is 1114069424, issued on Feb 13, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Stockbridge, GA. The record was last updated on Jul 8, 2007.