Individual provider · Type 1 NPI
Michael Angelo Prisco, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Pelham, NY
Practice location
123 Wolfs Ln
Pelham, NY 10803-1812
Mailing address
1019 Washington Ave
Pelham, NY 10803-3210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 044818 (NY) |
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…
About NPI 1790904407
Michael Angelo Prisco, DDS's National Provider Identifier is 1790904407, issued on Apr 24, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pelham, NY. The record was last updated on Jul 8, 2007.