Individual provider · Type 1 NPI
Priscilla Pickens-Larson, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Moore, OK
Practice location
717 S I 35 Service Rd Ste C
Moore, OK 73160-3190
Fax (405) 378-4775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 25416 (TX) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | SPECIALTYLICENSE#189 (OK) |
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…
Another provider at this address
About NPI 1396945358
Priscilla Pickens-Larson, DMD's National Provider Identifier is 1396945358, issued on Jul 18, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Moore, OK. The record was last updated on Jul 14, 2020.