Individual provider · Type 1 NPI

Jeffrey H. Wong, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Boulder, CO

NPI number 1912110693 Active

Practice location

3400 Penrose Pl, Suite 203
Boulder, CO 80301-1809

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	8169 (CO)

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 1912110693

Jeffrey H. Wong, DDS, M.S.'s National Provider Identifier is 1912110693, issued on May 8, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2007.