Individual provider · Type 1 NPI

Bangorn Terry

Orthodontics and Dentofacial Orthopedics Dentistry · San Antonio, TX

NPI number 1609936681 Active

Practice location

1218 SW Military Dr
San Antonio, TX 78221-1535

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	20409 (TX)

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 1609936681

Bangorn Terry's National Provider Identifier is 1609936681, issued on Dec 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Antonio, TX. The record was last updated on Jul 8, 2007.