Organization · Type 2 NPI
Legendary Orthodontics, LLC
Orthodontics and Dentofacial Orthopedics Dentistry · Laurel, MS
Practice location
3225 Audubon Dr
Laurel, MS 39440-1422
Fax (601) 340-3162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None listed |
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 1508359340
Legendary Orthodontics, LLC's National Provider Identifier is 1508359340, issued on Jun 6, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Laurel, MS. The record was last updated on Jun 6, 2018.