Individual provider · Type 1 NPI
Brent Lee Jorgensen
Orthodontics and Dentofacial Orthopedics Dentistry · Espanola, NM
Practice location
1508 N Riverside Dr
Espanola, NM 87532-2064
Mailing address
2050 E Algonquin Rd Ste 610
Schaumburg, IL 60173-4166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DD4795 (NM) |
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…
6 other providers at this address
- Familia Dental Esp LLCDental Clinic/Center Espanola, NM NPI 1356634703
- Hykal R. Khosravibabadi, DDSDentist Espanola, NM NPI 1306574868
- Kamala PoudelGeneral Practice Dentistry Espanola, NM NPI 1649035882
- Kevin Chun Hui Chang, DDSDentist Espanola, NM NPI 1861005662
- Muhammad Atif KhanDentist Espanola, NM NPI 1235782566
- Suho Bae, DDSGeneral Practice Dentistry Espanola, NM NPI 1841715992
About NPI 1275172181
Brent Lee Jorgensen's National Provider Identifier is 1275172181, issued on Dec 26, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Espanola, NM. The record was last updated on Dec 26, 2019.