Individual provider · Type 1 NPI
Rebecca P. Bolon, DDS MSD
Orthodontics and Dentofacial Orthopedics Dentistry · Indianapolis, IN
Practice location
9311 N. Meridian St., Suite 200
Indianapolis, IN 46260
Fax (317) 846-6128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 12009069 (IN) |
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 1497869614
Rebecca P. Bolon, DDS MSD's National Provider Identifier is 1497869614, issued on Aug 17, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 21, 2015.