Individual provider · Type 1 NPI
Penny Mericle, D.M.D, M.S.D.
Orthodontics and Dentofacial Orthopedics Dentistry · Forty Fort, PA
Practice location
190 Welles St
Forty Fort, PA 18704-4968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DS025005L (PA) |
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 1629071618
Penny Mericle, D.M.D, M.S.D.'s National Provider Identifier is 1629071618, issued on May 23, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Forty Fort, PA. The record was last updated on Jul 8, 2007.