Individual provider · Type 1 NPI
Wade Larry Haslam, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Corvallis, OR
Practice location
2657 NW Rolling Green Dr
Corvallis, OR 97330-3519
Fax (541) 738-9437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D6961 (OR) |
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 1154540854
Wade Larry Haslam, DMD's National Provider Identifier is 1154540854, issued on Apr 24, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Corvallis, OR. The record was last updated on Jul 8, 2007.