Organization · Type 2 NPI
Basile Orthodontics PA
Orthodontics and Dentofacial Orthopedics Dentistry · Prior Lake, MN
Practice location
5116 Gateway Street SE #103, Suite #103
Prior Lake, MN 55372
Fax (952) 447-6099
Mailing address
5116 Gateway St. S.e., Suite 103
Prior Lake, MN 55372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | MN10983 (MN) |
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…
Other orthodontics and dentofacial orthopedics dentistry providers in Prior Lake
About NPI 1679618326
Basile Orthodontics PA's National Provider Identifier is 1679618326, issued on Feb 20, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Prior Lake, MN. The record was last updated on Feb 17, 2009.