Organization · Type 2 NPI
Stanley P. Williamson, D.d.s., P.a.
Orthodontics and Dentofacial Orthopedics Dentistry · Edina, MN
Practice location
5101 Vernon Ave S Ste 502
Edina, MN 55436-2169
Fax (952) 926-0701
Mailing address
5101 Vernon Ave S Suite 502
Edina, MN 55436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D9907 (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 1356586804
Stanley P. Williamson, D.d.s., P.a.'s National Provider Identifier is 1356586804, issued on Dec 12, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Edina, MN. The record was last updated on Dec 12, 2008.