Individual provider · Type 1 NPI
Maryevan Shepperd Thacker, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Cincinnati, OH
Practice location
1057 Nimitzview Dr
Cincinnati, OH 45230-4359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 30.024135 (OH) |
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 1871016980
Maryevan Shepperd Thacker, DMD's National Provider Identifier is 1871016980, issued on Jul 20, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Cincinnati, OH. The record was last updated on Jul 20, 2017.