Organization · Type 2 NPI

Dental Depot Orthodontics South PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Oklahoma City, OK

NPI number 1629491832 Active

Practice location

1024 SW 104th St
Oklahoma City, OK 73139-2990

Mailing address

2828 NW 30th St
Oklahoma City, OK 73112-7404

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X73 (OK)

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 1629491832

Dental Depot Orthodontics South PLLC's National Provider Identifier is 1629491832, issued on Jan 23, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 11, 2024.