Individual provider · Type 1 NPI

Jon J. Sisulak, DDS, M.S

Orthodontics and Dentofacial Orthopedics Dentistry · Hales Corners, WI

NPI number 1508999616 Active

Practice location

6160 S 108th St
Hales Corners, WI 53130-2525

Fax (414) 425-9751

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X5001846 (WI)

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 1508999616

Jon J. Sisulak, DDS, M.S's National Provider Identifier is 1508999616, issued on Mar 14, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Hales Corners, WI. The record was last updated on Jul 8, 2007.