Organization · Type 2 NPI

Mel Collazo, Dds, Ms, PA

Orthodontics and Dentofacial Orthopedics Dentistry · Little Rock, AR

NPI number 1710119136 Active

Practice location

11811 Hinson Rd Ste 100
Little Rock, AR 72212-3472

Fax (501) 219-0300

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	2749 (AR)

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 1710119136

Mel Collazo, Dds, Ms, PA's National Provider Identifier is 1710119136, issued on Aug 18, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Little Rock, AR. The record was last updated on Aug 18, 2009.