Organization · Type 2 NPI

Ultra Orthodontics

Orthodontics and Dentofacial Orthopedics Dentistry · Longview, TX

NPI number 1114234556 Active

Practice location

3006 H G Mosley Pkwy
Longview, TX 75605-2948

Fax (903) 753-0884

Mailing address

627 Turtle Creek Dr
Tyler, TX 75701-1832

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X9121 (TX)

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 1114234556

Ultra Orthodontics's National Provider Identifier is 1114234556, issued on Sep 7, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Longview, TX. The record was last updated on Sep 6, 2023.