Individual provider · Type 1 NPI
Drew Anthony Colantino, DMD, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Springfield, IL
Practice location
997 Clock Tower Dr Ste B
Springfield, IL 62704-1399
Mailing address
1212 Orendorff Pkwy
Springfield, IL 62704-2825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019029230 (IL) |
| Dentist | 122300000X | 2901600326 (MI) |
| Pediatric Dentistry | 1223P0221X | 021.002987 (IL) |
| Pediatric Dentistry | 1223P0221X | 2901600326 (MI) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901600326 (MI) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 021.002996 (IL) |
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 1245579499
Drew Anthony Colantino, DMD, MS's National Provider Identifier is 1245579499, issued on Feb 7, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Springfield, IL. The record was last updated on Feb 5, 2020.