Individual provider · Type 1 NPI
Kathryn Ashley Edgcomb, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Rockford, IL
Practice location
1376 Reid Farm Rd
Rockford, IL 61107-2679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 019028542 (IL) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 021002415 (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 1609173749
Kathryn Ashley Edgcomb, DDS, M.S.'s National Provider Identifier is 1609173749, issued on Feb 25, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Rockford, IL. The record was last updated on Aug 12, 2011.