Organization · Type 2 NPI
W. Max Couch, Jr., Dds, Mds, LLC
Orthodontics and Dentofacial Orthopedics Dentistry · Blue Ridge, GA
Practice location
2714 East First Street
Blue Ridge, GA 30513
Fax (706) 946-2672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 011895 (GA) |
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…
About NPI 1972800175
W. Max Couch, Jr., Dds, Mds, LLC's National Provider Identifier is 1972800175, issued on Feb 24, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Blue Ridge, GA. The record was last updated on Feb 24, 2011.