Individual provider · Type 1 NPI
Daniella Davis
Orthodontics and Dentofacial Orthopedics Dentistry · Lake Ronkonkoma, NY
Practice location
500 Portion Rd Ste 15
Lake Ronkonkoma, NY 11779-4587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 061059 (NY) |
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…
Another provider at this address
About NPI 1508471665
Daniella Davis's National Provider Identifier is 1508471665, issued on Sep 14, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Sep 14, 2020.