Individual provider · Type 1 NPI

Randall C. Moles, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Racine, WI

NPI number 1215051313 Active

Practice location

5801 Washington Ave, Suite 100
Racine, WI 53406-4057

Fax (262) 884-7710

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X0803G (WI)

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 1215051313

Randall C. Moles, DDS, M.S.'s National Provider Identifier is 1215051313, issued on Mar 16, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Racine, WI. The record was last updated on Jul 8, 2007.