Individual provider · Type 1 NPI

Derek James Bock, DMD, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Lake Forest, IL

NPI number 1356501365 Active

Practice location

840 S Waukegan Rd, Suite 107
Lake Forest, IL 60045-2608

Call (847) 615-5437 Map

Fax (847) 615-2955

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X021002219 (IL)

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 1356501365

Derek James Bock, DMD, M.S.'s National Provider Identifier is 1356501365, issued on Jun 12, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lake Forest, IL. The record was last updated on Jan 29, 2009.