Individual provider · Type 1 NPI

Justin Middleberg, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Philadelphia, PA

NPI number 1982229084 Active

Practice location

2137 Welsh Rd Ste 1B
Philadelphia, PA 19115-4963

Mailing address

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDS042955 (PA)

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 1982229084

Justin Middleberg, DMD's National Provider Identifier is 1982229084, issued on Jun 15, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 14, 2023.