Individual provider · Type 1 NPI

Randall Edmund Root, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Waterford, MI

NPI number 1407913650 Active

Practice location

2677 Elizabeth Lake Rd
Waterford, MI 48328-3290

Fax (248) 682-2701

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2901010725 (MI)

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 1407913650

Randall Edmund Root, DDS's National Provider Identifier is 1407913650, issued on Jan 3, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Waterford, MI. The record was last updated on Jul 8, 2007.