Individual provider · Type 1 NPI

Mark Axelrode, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Pinole, CA

NPI number 1215055819 Active

Practice location

2000 Appian Way, Suite 301
Pinole, CA 94564-2574

Fax (510) 724-8861

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X40528 (CA)

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 1215055819

Mark Axelrode, DDS's National Provider Identifier is 1215055819, issued on Mar 26, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pinole, CA. The record was last updated on Jul 8, 2007.