Organization · Type 2 NPI

Manente Nc, PC

Orthodontics and Dentofacial Orthopedics Dentistry · Greensboro, NC

NPI number 1700579489 Active

Practice location

1126 N Church St Ste 100
Greensboro, NC 27401-1035

Call (336) 272-3737 Map

Mailing address

131 Dartmouth St Fl 3
Boston, MA 02116-5297

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

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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NPI record

NPI: 1700579489
Entity type: Organization (Type 2)
Issued: May 30, 2023
Last updated: Nov 20, 2024
Status: Active
Subpart: Yes of Manente NC PC

Other names

<unavail>
McMillian Orthodontics · doing business as
McMillian Orthodontics · doing business as

Authorized official

Casey Lonabocker
VP Operations & Strategy
(617) 535-3364

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700579489

Manente Nc, PC's National Provider Identifier is 1700579489, issued on May 30, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Greensboro, NC. The record was last updated on Nov 20, 2024.