Individual provider · Type 1 NPI

Stacy Ponder, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Allen, TX

NPI number 1548540602 Active

Practice location

508 W Mcdermott Dr, Suite 130
Allen, TX 75013-2777

Call (972) 908-3399 Map

Mailing address

1157 Landon Ln
Allen, TX 75013-4933

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	27400 (TX)

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 1548540602

Stacy Ponder, DMD's National Provider Identifier is 1548540602, issued on Aug 22, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Allen, TX. The record was last updated on Aug 22, 2011.