Individual provider · Type 1 NPI
Lisa Marie Banning, DMD, MSD
Orthodontics and Dentofacial Orthopedics Dentistry · Tamaqua, PA
Practice location
17 W Broad St, Suite 2
Tamaqua, PA 18252-1914
Fax (570) 952-6151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DS-029165-L (PA) |
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…
About NPI 1700867702
Lisa Marie Banning, DMD, MSD's National Provider Identifier is 1700867702, issued on Nov 8, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Tamaqua, PA. The record was last updated on Jul 8, 2007.