Individual provider · Type 1 NPI
Michael Gardner Thorstad, DDS ORTHODONTIST
Orthodontics and Dentofacial Orthopedics Dentistry · Wellington, FL
Practice location
12765 W Forest Hill Blvd, Wellington Plaza Suite 130
Wellington, FL 33414
Fax (561) 798-1758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | FL7760 (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 1184827883
Michael Gardner Thorstad, DDS ORTHODONTIST's National Provider Identifier is 1184827883, issued on Jun 8, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wellington, FL. The record was last updated on Jul 8, 2007.