Organization · Type 2 NPI
Main Street Dental Group PC
Orthodontics and Dentofacial Orthopedics Dentistry · Forest Park, GA
Practice location
848 Main St
Forest Park, GA 30297-1465
Fax (404) 366-4271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DN012689 (GA) |
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…
About NPI 1427220458
Main Street Dental Group PC's National Provider Identifier is 1427220458, issued on Mar 31, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Forest Park, GA. The record was last updated on Mar 31, 2008.