Individual provider · Type 1 NPI

Fares Mussad Alshuraim, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Watertown, NY

NPI number 1720862022 Active

Practice location

1114 Washington St
Watertown, NY 13601-4353

Call (315) 788-0122 Map

Mailing address

1331 Mount Hope Ave Apt 303
Rochester, NY 14620-3934

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	063262 (NY)

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 1720862022

Fares Mussad Alshuraim, DDS's National Provider Identifier is 1720862022, issued on Aug 21, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Watertown, NY. The record was last updated on Aug 21, 2023.