Individual provider · Type 1 NPI
Mark P. Hatala, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Johnson City, NY
Practice location
165 Riverside Drive
Johnson City, NY 13790
Fax (607) 644-9113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 041662 (NY) |
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…
About NPI 1669559159
Mark P. Hatala, DDS's National Provider Identifier is 1669559159, issued on Nov 1, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Johnson City, NY. The record was last updated on Jul 8, 2007.