Individual provider · Type 1 NPI

Isis El Ghannam, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Lutz, FL

NPI number 1316487531 Active

Practice location

24795 State Road 54
Lutz, FL 33559-6243

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN24480 (FL)

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 1316487531

Isis El Ghannam, DDS's National Provider Identifier is 1316487531, issued on Mar 7, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lutz, FL. The record was last updated on Jan 28, 2025.