Individual provider · Type 1 NPI

Van Wallace McCarlie Jr., M.A., DMD, PhD

Orthodontics and Dentofacial Orthopedics Dentistry · Greenville, NC

NPI number 1851643167 Active

Practice location

1851 Macgregor Downs Rd, Ross Hall, Room 3151
Greenville, NC 27834-5925

Fax (252) 737-7080

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X0118 (NC)

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 1851643167

Van Wallace McCarlie Jr., M.A., DMD, PhD's National Provider Identifier is 1851643167, issued on Oct 10, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Greenville, NC. The record was last updated on Oct 10, 2012.