Individual provider · Type 1 NPI

Ryan Elston Booth, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Homer Glen, IL

NPI number 1578036638 Active

Practice location

12635 W 143rd St
Homer Glen, IL 60491-8381

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X021002799 (IL)

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 1578036638

Ryan Elston Booth, DDS's National Provider Identifier is 1578036638, issued on Jan 10, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Homer Glen, IL. The record was last updated on Jan 10, 2019.