Individual provider · Type 1 NPI

Susan Carol Grimm, DDS., MS

Orthodontics and Dentofacial Orthopedics Dentistry · Wooster, OH

NPI number 1912125709 Active

Practice location

564 Meadow Ln
Wooster, OH 44691-1519

Mailing address

208 B East Milltown Rd
Wooster, OH 44691

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X18436 (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 1912125709

Susan Carol Grimm, DDS., MS's National Provider Identifier is 1912125709, issued on Apr 24, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wooster, OH. The record was last updated on Jul 8, 2007.