Individual provider · Type 1 NPI
William D. Petty, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Oak Lawn, IL
Practice location
4233 W 95th St, 2nd Floor
Oak Lawn, IL 60462
Fax (708) 636-3337
Mailing address
4233 W 95th St, 2nd Floor
Oak Lawn, IL 60453-2623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 019-A14386 (IL) |
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 1861558744
William D. Petty, DDS, MS's National Provider Identifier is 1861558744, issued on Dec 28, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Oak Lawn, IL. The record was last updated on Jul 8, 2007.