Individual provider · Type 1 NPI

Kirk Douglas Satrom, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · O Fallon, IL

NPI number 1386788768 Active

Practice location

741 W State St, Suite 2
O Fallon, IL 62269-1971

Call (618) 624-0800 Map

Fax (618) 624-0053

Mailing address

1 Lorien Ct
O Fallon, IL 62269-3132

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

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 1386788768

Kirk Douglas Satrom, DDS, M.S.'s National Provider Identifier is 1386788768, issued on Feb 17, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in O Fallon, IL. The record was last updated on Jul 8, 2007.