Individual provider · Type 1 NPI
Kenneth Paul Doaltowski, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Syracuse, NY
Practice location
2105 W Genesee St, Suite 207
Syracuse, NY 13219-1656
Fax (315) 487-3599
Mailing address
509 Emann Dr
Camillus, NY 13031-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 032859-1 (NY) |
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 1598967440
Kenneth Paul Doaltowski, DDS, MS's National Provider Identifier is 1598967440, issued on Jun 4, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Syracuse, NY. The record was last updated on Jul 9, 2007.