Organization · Type 2 NPI
Winnebago Braces, Llc.
Orthodontics and Dentofacial Orthopedics Dentistry · Rockford, IL
Practice location
555 N Court St Ste 110
Rockford, IL 61103-6898
Mailing address
4849 N Milwaukee Ave Ste 403
Chicago, IL 60630-2169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| General Practice Dentistry | 1223G0001X | None listed |
| Pediatric Dentistry | 1223P0221X | None listed |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | None listed |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None listed |
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 1952887374
Winnebago Braces, Llc.'s National Provider Identifier is 1952887374, issued on Jul 18, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Rockford, IL. The record was last updated on Jul 18, 2018.