Organization · Type 2 NPI

Deerwood Orthodontics, LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Menomonee Falls, WI

NPI number 1720118987 Active

Practice location

N80W17707 Custer Ln
Menomonee Falls, WI 53051-3630

Fax (262) 415-1266

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: 1720118987
Entity type: Organization (Type 2)
Issued: Mar 6, 2007
Last updated: Mar 14, 2022
Status: Active
Subpart: Yes of Deerwood Orthodontics, LLC

Other names

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Deerwood Orthodontics Menomonee Falls · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

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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 1720118987

Deerwood Orthodontics, LLC's National Provider Identifier is 1720118987, issued on Mar 6, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Menomonee Falls, WI. The record was last updated on Mar 14, 2022.