Individual provider · Type 1 NPI
Mark Joel Derocher, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Hutchinson, MN
Practice location
45 Washington Ave E
Hutchinson, MN 55350-2574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D13128 (MN) |
| Dentist | 122300000X | D13128 (MN) |
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 1336406800
Mark Joel Derocher, DDS's National Provider Identifier is 1336406800, issued on Apr 20, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Hutchinson, MN. The record was last updated on Jul 25, 2022.