Individual provider · Type 1 NPI

Justin M. Pagan, DDS, M.S.D.

Orthodontics and Dentofacial Orthopedics Dentistry · Edmonds, WA

NPI number 1790874758 Active

Practice location

21807 76th Ave W
Edmonds, WA 98026-7938

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE00010404 (WA)

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 1790874758

Justin M. Pagan, DDS, M.S.D.'s National Provider Identifier is 1790874758, issued on Oct 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Edmonds, WA. The record was last updated on Jul 8, 2007.