Individual provider · Type 1 NPI

Niles Knight Bakke, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Wauwatosa, WI

NPI number 1154489656 Active

Practice location

2457 N Mayfair Rd, Suite 203
Wauwatosa, WI 53226-1405

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2379-015 (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…

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About NPI 1154489656

Niles Knight Bakke, DDS's National Provider Identifier is 1154489656, issued on Dec 5, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wauwatosa, WI. The record was last updated on Jul 8, 2007.