Individual provider · Type 1 NPI

Mark David Lively, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Stuart, FL

NPI number 1346431301 Active

Practice location

106 Colorado Ave
Stuart, FL 34994-2106

Fax (772) 287-1719

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN11635 (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 1346431301

Mark David Lively, DMD's National Provider Identifier is 1346431301, issued on Aug 6, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Stuart, FL. The record was last updated on Aug 6, 2007.