Individual provider · Type 1 NPI

Jack G. Okerstrom, DDS, PA

Orthodontics and Dentofacial Orthopedics Dentistry · Prairie Village, KS

NPI number 1295846947 Active

Practice location

4026 W. 83rd St
Prairie Village, KS 66208

Fax (913) 451-2251

Mailing address

11940 Quivira Rd
Overland Park, KS 66213

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XKS52000 (KS)

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 1295846947

Jack G. Okerstrom, DDS, PA's National Provider Identifier is 1295846947, issued on Aug 31, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Prairie Village, KS. The record was last updated on Dec 19, 2013.