Organization · Type 2 NPI

Broad Street Braces

Orthodontics and Dentofacial Orthopedics Dentistry · Philadelphia, PA

NPI number 1649629189 Active

Practice location

2010 S Juniper St
Philadelphia, PA 19148-5509

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DS039143 (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 1649629189

Broad Street Braces's National Provider Identifier is 1649629189, issued on Jun 6, 2016. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 6, 2016.