Individual provider · Type 1 NPI
Brandon Boggan
Orthodontics and Dentofacial Orthopedics Dentistry · Pelham, AL
Practice location
2705 Pelham Parkway, Suite 200
Pelham, AL 35124
Fax (205) 664-3234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 4684 (AL) |
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 1750506465
Brandon Boggan's National Provider Identifier is 1750506465, issued on Apr 16, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pelham, AL. The record was last updated on Jul 8, 2007.