Individual provider · Type 1 NPI

Gordon Soule Kilmer, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Irvine, CA

NPI number 1518055292 Active

Practice location

4980 Barranca Pkwy, Suite 200
Irvine, CA 92604-8645

Mailing address

1843 Port Kimberly Pl
Newport Beach, CA 92660-6621

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X43614 (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…

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About NPI 1518055292

Gordon Soule Kilmer, DDS, MS's National Provider Identifier is 1518055292, issued on Oct 10, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Irvine, CA. The record was last updated on Jul 8, 2007.