Organization · Type 2 NPI

Lake Pleasant Orthodontic Specialists

Orthodontics and Dentofacial Orthopedics Dentistry · Peoria, AZ

NPI number 1366627960 Active

Practice location

10006 W Happy Valley Rd, SUITE1220
Peoria, AZ 85383-1235

Fax (623) 825-1987

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	D5668 (AZ)

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 1366627960

Lake Pleasant Orthodontic Specialists's National Provider Identifier is 1366627960, issued on Jan 2, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Peoria, AZ. The record was last updated on Jan 2, 2008.