Individual provider · Type 1 NPI

Mittida Raksanaves, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Tucson, AZ

NPI number 1699773184 Active

Practice location

1320 W Ina Rd
Tucson, AZ 85704-3115

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	4337 (AZ)

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 1699773184

Mittida Raksanaves, DDS, MS's National Provider Identifier is 1699773184, issued on Jul 8, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Tucson, AZ. The record was last updated on Jul 13, 2026.