Organization · Type 2 NPI

Douglas T Jonak DDS PA

Orthodontics and Dentofacial Orthopedics Dentistry · Blaine, MN

NPI number 1659447670 Active

Practice location

800 Main St NE
Blaine, MN 55434

Fax (763) 757-8038

Mailing address

27367 Blue Lake Dr NW
Zimmerman, MN 55398

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X9570 (MN)

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 1659447670

Douglas T Jonak DDS PA's National Provider Identifier is 1659447670, issued on Nov 28, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Blaine, MN. The record was last updated on Aug 22, 2020.