Individual provider · Type 1 NPI

Melvin David Pederson Jr., DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Aurora, CO

NPI number 1619631413 Active

Practice location

15121 E Mississippi Ave
Aurora, CO 80012-3746

Mailing address

400 E Main St Ste 190
Hillsboro, OR 97123-4163

Other practice locations

  • 400 E Main St Ste 190, Hillsboro, OR 97123-4163 · (503) 648-0859

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDEN.00204856 (CO)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XD11868 (OR)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDEN.00204856 (CO)

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 1619631413

Melvin David Pederson Jr., DDS's National Provider Identifier is 1619631413, issued on Oct 27, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Aurora, CO. The record was last updated on Aug 29, 2023.