Individual provider · Type 1 NPI

Kelsey Wahl, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Jacksonville, FL

NPI number 1780106070 Active

Practice location

3600 Cardinal Point Dr
Jacksonville, FL 32257-5581

Call (904) 737-4626 Map

Other practice locations

2750 Race Track Rd, Fruit Cove, FL 32259-3227 · (904) 737-4626

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	22605 (FL)

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 1780106070

Kelsey Wahl, DMD's National Provider Identifier is 1780106070, issued on Jul 9, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 7, 2022.