Individual provider · Type 1 NPI
Andrew Carl Lidral, DDS PHD
Orthodontics and Dentofacial Orthopedics Dentistry · Rockford, MI
Practice location
158 Marcell Dr NE
Rockford, MI 49341
Fax (616) 866-7401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 07539 (IA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 21447 (MI) |
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…
3 other providers at this address
- Mark P. Brieden D.d.s., M.s., P.c.Orthodontics and Dentofacial Orthopedics Dentistry Rockford, MI NPI 1508845918
- Palm & Panek DDS PCOral and Maxillofacial Surgery (Dentist) Rockford, MI NPI 1437206745
- Mark P. Brieden, DDS, M.S.Orthodontics and Dentofacial Orthopedics Dentistry Rockford, MI NPI 1285899484
Other orthodontics and dentofacial orthopedics dentistry providers in Rockford
- Thomas Patrick Williams Ii, DDS, M.CL.D.Orthodontics and Dentofacial Orthopedics Dentistry Rockford, MI NPI 1104915099
- Jeffrey Heinz, DDS, MSDOrthodontics and Dentofacial Orthopedics Dentistry Rockford, MI NPI 1275946113
- Mark P. Brieden, DDS, M.S.Orthodontics and Dentofacial Orthopedics Dentistry Rockford, MI NPI 1285899484
- Alexis Leigh Gallagher, DDS, MSOrthodontics and Dentofacial Orthopedics Dentistry Rockford, MI NPI 1861057119
About NPI 1306940317
Andrew Carl Lidral, DDS PHD's National Provider Identifier is 1306940317, issued on Sep 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Rockford, MI. The record was last updated on Oct 14, 2019.