Individual provider · Type 1 NPI
Tracy L. Pack
Orthodontics and Dentofacial Orthopedics Dentistry · Murfreesboro, TN
Practice location
147 E Clark Blvd
Murfreesboro, TN 37130-2112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 004475 (TN) |
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 1295886885
Tracy L. Pack's National Provider Identifier is 1295886885, issued on Jan 12, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Murfreesboro, TN. The record was last updated on Jul 8, 2007.