Individual provider · Type 1 NPI

Edward J. Shaheen Jr., DDS

Orthodontics and Dentofacial Orthopedics Dentistry · St. Louis, MO

NPI number 1306115647 Active

Practice location

10363 Clayton Rd
St. Louis, MO 63131-2907

Fax (314) 991-3436

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	012428 (MO)

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 1306115647

Edward J. Shaheen Jr., DDS's National Provider Identifier is 1306115647, issued on Dec 15, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. Louis, MO. The record was last updated on Dec 15, 2011.