Individual provider · Type 1 NPI

Christopher Michael Fanelli, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · South Ogden, UT

NPI number 1902538853 Active

Practice location

5677 S 1475 E Ste 2A
South Ogden, UT 84403-7003

Mailing address

276 Spencer Way Unit 1
Farmington, UT 84025-3229

Other practice locations

  • 2850 N 2000 W, Farr West, UT 84404-9219 · (801) 479-9800
  • 209 N State St Ste A, Morgan, UT 84050-9903 · (801) 479-9800

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X127399519922 (UT)

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 1902538853

Christopher Michael Fanelli, DDS, MS's National Provider Identifier is 1902538853, issued on Jun 29, 2022. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in South Ogden, UT. The record was last updated on Jun 29, 2022.