Organization · Type 2 NPI

W.w. Park, D.m.d., P.c.

Orthodontics and Dentofacial Orthopedics Dentistry · Elkins Park, PA

NPI number 1144422239 Active

Practice location

1333 W Cheltenham Ave, Suite #202
Elkins Park, PA 19027-3140

Fax (215) 782-3266

Mailing address

212 W Brookhaven Rd
Wallingford, PA 19086-6339

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDS030803L (PA)

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 1144422239

W.w. Park, D.m.d., P.c.'s National Provider Identifier is 1144422239, issued on Jun 1, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Elkins Park, PA. The record was last updated on Jun 5, 2009.