Individual provider · Type 1 NPI

Randall C. Shults Iii, DDS, MA, PhD

Orthodontics and Dentofacial Orthopedics Dentistry · Wellington, FL

NPI number 1457444572 Active

Practice location

1200 Corporate Center Way, Suite 100
Wellington, FL 33414-2108

Fax (561) 793-9166

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12793 (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 1457444572

Randall C. Shults Iii, DDS, MA, PhD's National Provider Identifier is 1457444572, issued on Oct 2, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wellington, FL. The record was last updated on Jul 8, 2007.