Individual provider · Type 1 NPI

Blaine Rodney Couser, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Mesa, AZ

NPI number 1417077918 Active

Practice location

4540 E Baseline Rd, Suite # 104
Mesa, AZ 85206-4613

Call (480) 813-2222 Map

Fax (480) 907-7619

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X6257 (AZ)

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 1417077918

Blaine Rodney Couser, DDS, MS's National Provider Identifier is 1417077918, issued on Mar 29, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mesa, AZ. The record was last updated on Jul 8, 2007.