Individual provider · Type 1 NPI
Matthew J. Goergen, D.M.D
Orthodontics and Dentofacial Orthopedics Dentistry · Minneapolis, MN
Practice location
515 Delaware St SE
Minneapolis, MN 55455-0357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 10555 (CO) |
| Dentist | 122300000X | 019028769 (IL) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | R595 (MN) |
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 1154601292
Matthew J. Goergen, D.M.D's National Provider Identifier is 1154601292, issued on Aug 21, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 2, 2014.