Individual provider · Type 1 NPI

Dustin Daniel Roden-Johnson, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Bastrop, TX

NPI number 1669624003 Active

Practice location

301 Highway 71 W, Suite 201
Bastrop, TX 78602-4105

Mailing address

301 Hwy 71 West, Suite 201
Bastrop, TX 78602-4111

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X22109 (TX)

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 1669624003

Dustin Daniel Roden-Johnson, DDS, MS's National Provider Identifier is 1669624003, issued on Oct 16, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bastrop, TX. The record was last updated on Oct 16, 2008.