Individual provider · Type 1 NPI
Jonathan Michael Panichella, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Northport, NY
Practice location
239 Main St
Northport, NY 11768-1730
Fax (631) 754-3127
Mailing address
66 Locust Ln
Northport, NY 11768-1149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 045759 (NY) |
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…
Another provider at this address
About NPI 1932238334
Jonathan Michael Panichella, DDS, M.S.'s National Provider Identifier is 1932238334, issued on Mar 4, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Northport, NY. The record was last updated on Jul 8, 2007.