Individual provider · Type 1 NPI
Carlyn S. Phucas, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Marlton, NJ
Practice location
36 W Route 70 Marlton Greene Plaza, Suite 212
Marlton, NJ 08053-3024
Fax (856) 985-3412
Mailing address
Marlton Greene Plaza, 36 W Route 70 Suite 212
Marlton, NJ 08053-3024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DI15540 (NJ) |
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 1891849394
Carlyn S. Phucas, DDS's National Provider Identifier is 1891849394, issued on Jan 22, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Marlton, NJ. The record was last updated on Jul 8, 2007.