Individual provider · Type 1 NPI
Amanda K. Olejniczak, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Grafton, WI
Practice location
1505 Wisconsin Ave, Ste 130
Grafton, WI 53024
Mailing address
1505 Wisconsin Ave Ste 130
Grafton, WI 53024-2075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 7185 (WI) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 7185-15 (WI) |
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 1750790119
Amanda K. Olejniczak, DDS's National Provider Identifier is 1750790119, issued on Aug 10, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Grafton, WI. The record was last updated on Nov 25, 2019.