Individual provider · Type 1 NPI
Maurice George Theberge, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Lawrence, MA
Practice location
50 Prospect Street, Suite 402
Lawrence, MA 01841
Fax (978) 686-8246
Mailing address
1 Berkley Ave
Haverhill, MA 01830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 9437 (MA) |
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 1538360342
Maurice George Theberge, DDS's National Provider Identifier is 1538360342, issued on May 30, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lawrence, MA. The record was last updated on Jul 8, 2007.