Individual provider · Type 1 NPI
John Michael Durussel, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Evergreen, CO
Practice location
30960 Stagecoach Blvd Ste W100
Evergreen, CO 80439-7902
Mailing address
6992 Lynx Lair Rd
Evergreen, CO 80439
Other practice locations
- 1739 Main St, Longmont, CO 80501-2035 · (303) 834-6400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DEN.00202186 (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…
Another provider at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Evergreen
About NPI 1669890125
John Michael Durussel, DDS, MS's National Provider Identifier is 1669890125, issued on Apr 2, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Evergreen, CO. The record was last updated on Mar 18, 2021.