Individual provider · Type 1 NPI

Peter Michael Koblan Iii, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · East Northport, NY

NPI number 1124346887 Active

Practice location

554 Larkfield Rd, Suite 107
East Northport, NY 11731-4205

Call (631) 368-2660 Map

Fax (631) 368-2668

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X046284 (NY)

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 1124346887

Peter Michael Koblan Iii, DDS's National Provider Identifier is 1124346887, issued on May 5, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in East Northport, NY. The record was last updated on May 5, 2010.