Individual provider · Type 1 NPI

Budi Kusnoto, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Chicago, IL

NPI number 1447349618 Active

Practice location

842 W 31st St
Chicago, IL 60608

Call (312) 804-8304 Map

Fax (312) 873-3803

Mailing address

47 W Polk St, Suite 251
Chicago, IL 60605-2000

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	019022824 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	021002161 (IL)

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 1447349618

Budi Kusnoto, DDS, MS's National Provider Identifier is 1447349618, issued on Oct 12, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Chicago, IL. The record was last updated on Jan 28, 2014.