Individual provider · Type 1 NPI
George M. Myracle, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Sikeston, MO
Practice location
411 Tanner St
Sikeston, MO 63801-4272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 13502 (MO) |
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…
About NPI 1861668196
George M. Myracle, DDS's National Provider Identifier is 1861668196, issued on May 6, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sikeston, MO. The record was last updated on May 6, 2008.