Individual provider · Type 1 NPI

Kelly Goeckner

Orthodontics and Dentofacial Orthopedics Dentistry · Cary, NC

NPI number 1790177756 Active

Practice location

1505 SW Cary Pkwy
Cary, NC 27511-6219

Mailing address

1692 Miller Ave
Ann Arbor, MI 48103-2548

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X9296 (NC)

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 1790177756

Kelly Goeckner's National Provider Identifier is 1790177756, issued on Feb 28, 2015. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Cary, NC. The record was last updated on Feb 28, 2015.