Individual provider · Type 1 NPI

Ronald Craig Maddox, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · San Dimas, CA

NPI number 1861697112 Active

Practice location

1111 W Covina Blvd, Suite 110
San Dimas, CA 91773-3205

Fax (909) 394-7703

Mailing address

7 Scotia Sea
Newport Coast, CA 92657-2104

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X32353 (CA)

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 1861697112

Ronald Craig Maddox, DDS's National Provider Identifier is 1861697112, issued on Jun 18, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Dimas, CA. The record was last updated on Jul 8, 2007.