Individual provider · Type 1 NPI
Eric R. Gheewalla, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Medford, MA
Practice location
82 Forest St
Medford, MA 02155-3130
Fax (781) 396-4224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 18335 (MA) |
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…
2 other providers at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Medford
About NPI 1194721795
Eric R. Gheewalla, DMD's National Provider Identifier is 1194721795, issued on Jun 28, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Medford, MA. The record was last updated on Jul 8, 2007.