Individual provider · Type 1 NPI

Shadzi Jebraeili, DMD, MS, ORTHO CERT.

Orthodontics and Dentofacial Orthopedics Dentistry · San Antonio, TX

NPI number 1669964870 Active

Practice location

8210 Floyd Curl Dr
San Antonio, TX 78229-3923

Call (210) 450-3500 Map

Mailing address

18 Beaverbrook Crescent
Maple, ONTARIO L6A3T2

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X31669 (TX)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X31669 (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 1669964870

Shadzi Jebraeili, DMD, MS, ORTHO CERT.'s National Provider Identifier is 1669964870, issued on Jun 4, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Antonio, TX. The record was last updated on Oct 21, 2020.