Individual provider · Type 1 NPI
Lavonne Kelly Fore, DMD, MSD
Orthodontics and Dentofacial Orthopedics Dentistry · Charleston, SC
Practice location
915 Folly Rd Ste T
Charleston, SC 29412-3907
Fax (843) 566-0706
Other practice locations
- 402 N 4th Ave SW, Rome, GA 30165-2812 · (706) 192-0383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 9106-981 (SC) |
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 1710102405
Lavonne Kelly Fore, DMD, MSD's National Provider Identifier is 1710102405, issued on Apr 16, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Charleston, SC. The record was last updated on Apr 9, 2020.