Individual provider · Type 1 NPI

Kevin Christopher Wiseman, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Chicago, IL

NPI number 1578861563 Active

Practice location

2507 W Cermak Rd, Suite 290
Chicago, IL 60608-3719

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	021002575 (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 1578861563

Kevin Christopher Wiseman, DDS's National Provider Identifier is 1578861563, issued on Mar 1, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Chicago, IL. The record was last updated on May 4, 2016.