Individual provider · Type 1 NPI

Timothy Michael Poyadou Jr., B.S., DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Covington, LA

NPI number 1366785602 Active

Practice location

100 Tyler Sq Ste 4
Covington, LA 70433-3060

Fax (985) 266-2002

Other practice locations

  • 4521 Atlantic Blvd Ste B, Jacksonville, FL 32207-2165 · (904) 398-8970

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN19309 (FL)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDN19309 (FL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X6377 (LA)

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 1366785602

Timothy Michael Poyadou Jr., B.S., DDS's National Provider Identifier is 1366785602, issued on Apr 5, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Covington, LA. The record was last updated on Dec 5, 2022.