Individual provider · Type 1 NPI
Kevin Wright McMinn, D.M.D, M.S.D
Orthodontics and Dentofacial Orthopedics Dentistry · Ketchum, ID
Practice location
181 1st Ave N
Ketchum, ID 83340
Mailing address
PO Box 6327
Ketchum, ID 83340-6327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 26105 (TX) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DD3413 (NM) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D-4449-OR (ID) |
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…
2 other providers at this address
About NPI 1578865754
Kevin Wright McMinn, D.M.D, M.S.D's National Provider Identifier is 1578865754, issued on Nov 22, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Ketchum, ID. The record was last updated on Mar 26, 2013.