Individual provider · Type 1 NPI

Tracy Pogal-Sussman

Orthodontics and Dentofacial Orthopedics Dentistry · Bedford, NH

NPI number 1790197036 Active

Practice location

72 S River Rd
Bedford, NH 03110-6759

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X04046 (NH)

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 1790197036

Tracy Pogal-Sussman's National Provider Identifier is 1790197036, issued on May 21, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bedford, NH. The record was last updated on May 21, 2014.