NPI 1760618284 · live from the CMS NPI Registry
Braces One LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Marion, OH. National Provider Identifier 1760618284, active.
NPI record
| NPI | 1760618284 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1598 Marion Mount Gilead Rd, Marion, OH 43302 |
| Practice phone | 740-386-6600 |
| Enumerated | June 10, 2009 |
| Last updated | June 10, 2009 |
| Authorized official | Sang Pham, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 30-022960 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.