Individual provider · Type 1 NPI

David Ray Libby, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Southaven, MS

NPI number 1194056648 Active

Practice location

7732 Airways Blvd
Southaven, MS 38671-5306

Fax (662) 349-0782

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X1154-64 (MS)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDS1639 (TN)

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 1194056648

David Ray Libby, DDS's National Provider Identifier is 1194056648, issued on Jan 22, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Southaven, MS. The record was last updated on Jan 22, 2010.