Organization · Type 2 NPI
Louis J Russo JR Jonathan L Nicozisis DMD MS PA
Orthodontics and Dentofacial Orthopedics Dentistry · Princeton, NJ
Practice location
601 Ewing St, B 12
Princeton, NJ 08540-2757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DI 20775 (NJ) |
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 1942425137
Louis J Russo JR Jonathan L Nicozisis DMD MS PA's National Provider Identifier is 1942425137, issued on Apr 15, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Princeton, NJ. The record was last updated on Aug 22, 2020.