Individual provider · Type 1 NPI
Travis William Wille, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Forest Lake, MN
Practice location
69 Lake St N, Suite #100
Forest Lake, MN 55025-2513
Fax (651) 464-5432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 11552 (MN) |
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…
Other orthodontics and dentofacial orthopedics dentistry providers in Forest Lake
About NPI 1609993278
Travis William Wille, DDS, MS's National Provider Identifier is 1609993278, issued on Mar 26, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Forest Lake, MN. The record was last updated on Jul 8, 2007.