Organization · Type 2 NPI

Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch PLL

Orthodontics and Dentofacial Orthopedics Dentistry · Bradenton, FL

NPI number 1790273159 Active

Practice location

11649 Sr 70 East, Suite 109
Bradenton, FL 34202

Mailing address

6240 Lake Osprey Dr Dept 50226
Lakewood Ranch, FL 34240-8421

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

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 1790273159

Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch PLL's National Provider Identifier is 1790273159, issued on May 1, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bradenton, FL. The record was last updated on May 1, 2018.