Individual provider · Type 1 NPI

John Richard Kavanagh, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Riverside, CA

NPI number 1689755837 Active

Practice location

3731 Tibbetts St, Suite 10
Riverside, CA 92506-2604

Call (951) 683-4790 Map

Fax (951) 683-4795

Mailing address

3731 Tibbetts Street, Suite 10
Riverside, CA 92606

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	48478 (CA)

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 1689755837

John Richard Kavanagh, DDS, M.S.'s National Provider Identifier is 1689755837, issued on Oct 17, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Riverside, CA. The record was last updated on Dec 12, 2012.