Individual provider · Type 1 NPI

Mariel Cotton

Orthodontics and Dentofacial Orthopedics Dentistry · Columbia, IL

NPI number 1164959524 Active

Practice location

840 Admiral Weinel Blvd
Columbia, IL 62236-1992

Mailing address

1224 Greenfield Pl Apt 311
O Fallon, IL 62269-7299

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X2017005019 (MO)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X021002798 (IL)

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 1164959524

Mariel Cotton's National Provider Identifier is 1164959524, issued on May 16, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Columbia, IL. The record was last updated on May 16, 2017.