Individual provider · Type 1 NPI
Sean David Prusky, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Manhattan Beach, CA
Practice location
500 S Sepulveda Blvd Ste 301
Manhattan Beach, CA 90266-6976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 60671 (CA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 60671 (CA) |
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…
2 other providers at this address
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- Patricia J. Panucci, DMD, MSOrthodontics and Dentofacial Orthopedics Dentistry Manhattan Beach, CA NPI 1235240417
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- Summer Lynn Blake, DDSOrthodontics and Dentofacial Orthopedics Dentistry Manhattan Beach, CA NPI 1578896445
About NPI 1477833119
Sean David Prusky, DDS's National Provider Identifier is 1477833119, issued on Aug 25, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Manhattan Beach, CA. The record was last updated on Jun 28, 2019.