Individual provider · Type 1 NPI

Jeremy Ryan Vistica, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Huntington Beach, CA

NPI number 1639368582 Active

Practice location

5512 Maryport Dr
Huntington Beach, CA 92649-4821

Call (503) 706-5944 Map

Mailing address

12100 Monitor Mckee Rd NE
Woodburn, OR 97071-9089

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X0401417561 (VA)
Dentist 122300000XD8993 (OR)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X109231 (CA)

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 1639368582

Jeremy Ryan Vistica, DMD's National Provider Identifier is 1639368582, issued on Oct 16, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Huntington Beach, CA. The record was last updated on Oct 1, 2024.