Individual provider · Type 1 NPI

Benjamin M. Pridemore Jr., DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Rome, GA

NPI number 1336153592 Active

Practice location

23 John Maddox Dr NW
Rome, GA 30165-1413

Fax (706) 232-5327

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN007095 (GA)

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 1336153592

Benjamin M. Pridemore Jr., DDS's National Provider Identifier is 1336153592, issued on Jul 27, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Rome, GA. The record was last updated on Jul 8, 2007.