Individual provider · Type 1 NPI

Andrew Brandon Kelso, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Lakeland, FL

NPI number 1154638187 Active

Practice location

330 E Highland Dr
Lakeland, FL 33813

Call (863) 644-0430 Map

Mailing address

2465 Laurel Glen Dr
Lakeland, FL 33803-5406

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	DN 19117 (FL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DN19117 (FL)

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 1154638187

Andrew Brandon Kelso, DMD's National Provider Identifier is 1154638187, issued on Sep 13, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lakeland, FL. The record was last updated on May 18, 2018.