Individual provider · Type 1 NPI
Jerome P. McDonnell
Orthodontics and Dentofacial Orthopedics Dentistry · Mercer Island, WA
Practice location
2731 77th Ave SE Ste 205
Mercer Island, WA 98040-2800
Fax (206) 275-3716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 4466 (WA) |
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 1982828802
Jerome P. McDonnell's National Provider Identifier is 1982828802, issued on Apr 12, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mercer Island, WA. The record was last updated on Jul 9, 2007.