Individual provider · Type 1 NPI

Phimon Atsawasuwan

Orthodontics and Dentofacial Orthopedics Dentistry · Chicago, IL

NPI number 1700220043 Active

Practice location

1283 W. Westgate Terrace
Chicago, IL 60607

Call (312) 928-9728 Map

Fax (815) 293-2159

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X019028877 (IL)

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 1700220043

Phimon Atsawasuwan's National Provider Identifier is 1700220043, issued on Apr 17, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Chicago, IL. The record was last updated on Jun 3, 2013.