Individual provider · Type 1 NPI
Raven Elaine Yayah, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · O Fallon, IL
Practice location
4905 Stone Falls Ctr Unit A
O Fallon, IL 62269-7802
Mailing address
4201 W Pine Blvd Apt 103
St. Louis, MO 63108-3078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 2021044569 (MO) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 019.034684 (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…
Other orthodontics and dentofacial orthopedics dentistry providers in O Fallon
About NPI 1174288153
Raven Elaine Yayah, DDS's National Provider Identifier is 1174288153, issued on Nov 3, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in O Fallon, IL. The record was last updated on Jul 16, 2024.