Individual provider · Type 1 NPI
Paul Fiebiger Supan, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Leesburg, VA
Practice location
823 South King St, Suite A
Leesburg, VA 20175-3920
Fax (703) 771-9333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | BS2979411 (VA) |
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
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About NPI 1962591545
Paul Fiebiger Supan, DDS's National Provider Identifier is 1962591545, issued on Oct 12, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Leesburg, VA. The record was last updated on Jul 8, 2007.