Individual provider · Type 1 NPI
John Octave Clotworthy, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Metairie, LA
Practice location
1014 Veterans Blvd
Metairie, LA 70005
Fax (504) 833-4364
Mailing address
1014 Veterans Blvd.
Metairie, LA 70005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 2634 (LA) |
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 1972756963
John Octave Clotworthy, DDS's National Provider Identifier is 1972756963, issued on Nov 4, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Metairie, LA. The record was last updated on Nov 4, 2008.