Individual provider · Type 1 NPI

Nikki Shakourian

Orthodontics and Dentofacial Orthopedics Dentistry · Dallas, TX

NPI number 1215276399 Active

Practice location

2011 W Bardin Road
Dallas, TX 76017-7596

Mailing address

2011 W Bardin Rd
Arlington, TX 76017-1654

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2901020868 (MI)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X29968 (TX)

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 1215276399

Nikki Shakourian's National Provider Identifier is 1215276399, issued on Feb 8, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Dallas, TX. The record was last updated on Aug 21, 2014.