Individual provider · Type 1 NPI

Kevin Bruce Persily, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · West Orange, NJ

NPI number 1861532053 Active

Practice location

412 Pleasant Valley Way
West Orange, NJ 07052

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	12019 (NJ)
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	22DI01201900 (NJ)

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 1861532053

Kevin Bruce Persily, DDS's National Provider Identifier is 1861532053, issued on Feb 7, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in West Orange, NJ. The record was last updated on Sep 26, 2024.