Individual provider · Type 1 NPI

Kevin C. Walde, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Washington, MO

NPI number 1649472465 Active

Practice location

1507 Heritage Hills Dr
Washington, MO 63090-4614

Fax (636) 390-2728

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X013936 (MO)

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 1649472465

Kevin C. Walde, DDS, M.S.'s National Provider Identifier is 1649472465, issued on Jun 4, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Washington, MO. The record was last updated on Jun 4, 2014.