Individual provider · Type 1 NPI
Christian Randall Kenworthy, D.D.S, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Missoula, MT
Practice location
690 SW Higgins Ave Ste F
Missoula, MT 59803-1433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 1976 (MT) |
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 1861557308
Christian Randall Kenworthy, D.D.S, M.S.'s National Provider Identifier is 1861557308, issued on Dec 26, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Missoula, MT. The record was last updated on Jul 8, 2007.