Individual provider · Type 1 NPI
Tyrel Larsen
Orthodontics and Dentofacial Orthopedics Dentistry · Marion, IL
Practice location
3108 W Deyoung St Ste A
Marion, IL 62959-5548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | DS035312 (PA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 021.003269 (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…
Other orthodontics and dentofacial orthopedics dentistry providers in Marion
About NPI 1396366381
Tyrel Larsen's National Provider Identifier is 1396366381, issued on Apr 30, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Marion, IL. The record was last updated on Nov 15, 2023.