Individual provider · Type 1 NPI

John S. Kishibay, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Santa Monica, CA

NPI number 1255425609 Active

Practice location

2601 Ocean Park Blvd, 304
Santa Monica, CA 90405-5210

Fax (310) 581-5759

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	27778 (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 1255425609

John S. Kishibay, DMD's National Provider Identifier is 1255425609, issued on Oct 2, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Santa Monica, CA. The record was last updated on Dec 4, 2012.