Individual provider · Type 1 NPI

Edgar Paul Poremba, DDS MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Colorado Springs, CO

NPI number 1659594232 Active

Practice location

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906-4405

Call (719) 576-0149 Map

Fax (719) 579-5373

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X105719 (CO)

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 1659594232

Edgar Paul Poremba, DDS MSD's National Provider Identifier is 1659594232, issued on Apr 11, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 8, 2007.