Individual provider · Type 1 NPI

Marlon Dean Wakham, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Biloxi, MS

NPI number 1962622142 Active

Practice location

408 Bertucci Blvd
Biloxi, MS 39531-2339

Fax (228) 388-5922

Mailing address

408 Bertucci Blvd.
Biloxi, MS 39531

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XOR 260 94 (MS)

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 1962622142

Marlon Dean Wakham, DMD's National Provider Identifier is 1962622142, issued on Apr 27, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Biloxi, MS. The record was last updated on Jul 8, 2007.