Individual provider · Type 1 NPI

Stephen C. Roehm, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Peoria, IL

NPI number 1902058985 Active

Practice location

5006 N University St
Peoria, IL 61614-4715

Fax (309) 691-9680

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	1915903 (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 1902058985

Stephen C. Roehm, DDS, M.S.'s National Provider Identifier is 1902058985, issued on Oct 21, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Peoria, IL. The record was last updated on Oct 21, 2008.