Individual provider · Type 1 NPI
Jeremiah Edillor Juson, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Long Island City, NY
Practice location
2301 Queens Plz N Ste C
Long Island City, NY 11101
Mailing address
360 E 89th St Apt 5B
New York, NY 10128-5418
Other practice locations
- 225 E 64th St Ste 1, New York, NY 10065-6684 · (212) 803-3345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DL11820 (MA) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DL11820 (MA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 059613 (NY) |
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…
Other orthodontics and dentofacial orthopedics dentistry providers in Long Island City
About NPI 1265766315
Jeremiah Edillor Juson, DMD's National Provider Identifier is 1265766315, issued on Sep 22, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Long Island City, NY. The record was last updated on Mar 7, 2023.