Individual provider · Type 1 NPI

Grant Vezina

Orthodontics and Dentofacial Orthopedics Dentistry · Jacksonville, FL

NPI number 1427563899 Active

Practice location

2800 University Blvd N
Jacksonville, FL 32211-3321

Call (904) 256-7855 Map

Fax (904) 256-7798

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDTP673 (FL)

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 1427563899

Grant Vezina's National Provider Identifier is 1427563899, issued on Dec 7, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 7, 2017.