Individual provider · Type 1 NPI

Taylor L. Usitalo, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Santa Fe, NM

NPI number 1962934612 Active

Practice location

2027 Cerrillos Rd
Santa Fe, NM 87505-3269

Call (505) 820-1212 Map

Fax (505) 820-1218

Mailing address

2221 East Bijou St, Suite 100
Colorado Springs, CO 80909-8009

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDD0000 (NM)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDD0000 (NM)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDD4663 (NM)

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 1962934612

Taylor L. Usitalo, DDS's National Provider Identifier is 1962934612, issued on Mar 31, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 19, 2019.