Individual provider · Type 1 NPI

Talita Goncalves Durazzo C. Massarotto

Orthodontics and Dentofacial Orthopedics Dentistry · Fargo, ND

NPI number 1336059914 Active

Practice location

300 45th St S
Fargo, ND 58103-1189

Call (999) 999-9999 Map

Mailing address

5348 Old Jacksonville Hwy Apt 1322
Tyler, TX 75703-3367

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X43012 (TX)

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 1336059914

Talita Goncalves Durazzo C. Massarotto's National Provider Identifier is 1336059914, issued on Sep 8, 2026. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fargo, ND. The record was last updated on Oct 1, 2026.