Individual provider · Type 1 NPI

Laurie Susarchick-Stache, DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · Chicago, IL

NPI number 1376134577 Active

Practice location

1435 W Walton St Unit 2
Chicago, IL 60642-5311

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	019032057 (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 1376134577

Laurie Susarchick-Stache, DDS MS's National Provider Identifier is 1376134577, issued on Jan 30, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Chicago, IL. The record was last updated on Jan 30, 2021.