Individual provider · Type 1 NPI

John T. Kalange, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Boise, ID

NPI number 1124014154 Active

Practice location

136 E Mallard Dr
Boise, ID 83706-3975

Fax (208) 342-0323

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	D1939 (ID)

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 1124014154

John T. Kalange, DDS, M.S.'s National Provider Identifier is 1124014154, issued on Sep 26, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.