Individual provider · Type 1 NPI

Shadi Mohebi

Orthodontics and Dentofacial Orthopedics Dentistry · Champaign, IL

NPI number 1457199689 Active

Practice location

1715 Broadmoor Dr Ste A
Champaign, IL 61821-5984

Mailing address

4008 Turnberry Dr
Champaign, IL 61822-8512

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDL15906 (MA)

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 1457199689

Shadi Mohebi's National Provider Identifier is 1457199689, issued on Jul 20, 2024. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Champaign, IL. The record was last updated on Jul 20, 2024.