Organization · Type 2 NPI

Great River Orthodontic Specialists, SC

Orthodontics and Dentofacial Orthopedics Dentistry · La Crosse, WI

NPI number 1124573902 Active

Practice location

1200 Main St
La Crosse, WI 54601-4468

Mailing address

3902 Oakwood Hills Pkwy
Eau Claire, WI 54701-7780

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X1001026 (WI)

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…

10 other providers at this address

About NPI 1124573902

Great River Orthodontic Specialists, SC's National Provider Identifier is 1124573902, issued on Aug 22, 2016. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in La Crosse, WI. The record was last updated on Aug 22, 2016.