Organization · Type 2 NPI

Ortho 360 LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Kenosha, WI

NPI number 1831001825 Active

Practice location

3726 Roosevelt Rd
Kenosha, WI 53142-1900

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 1831001825

Ortho 360 LLC's National Provider Identifier is 1831001825, issued on Sep 22, 2026. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kenosha, WI. The record was last updated on Sep 22, 2026.