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M M ORTHODONTICS PA NPI 1356351456


NPI Information

NPI: 1356351456
Provider Name: M M ORTHODONTICS PA

Doing Business As: M & M ORTHODONTICS, PA

Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
6735 FM 78
SUITE 102
SAN ANTONIO, TX
ZIP 78244
Phone: (210) 667-2929
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M M ORTHODONTICS PA is an orthodontics and dentofacial orthopedics dentist in San Antonio, TX. The provider is 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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. M M ORTHODONTICS PA NPI is 1356351456. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As M & M Orthodontics, Pa.

The provider's business location address is:

6735 FM 78
SUITE 102
SAN ANTONIO, TX
ZIP 78244-367
Phone: (210) 667-2929
Fax: (210) 661-2575

The provider's authorized official is Diana T Malone .
The authorized official title is Orthodontist and has the following contact phone number (210) 667-2929.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics21086TEXASNo
21223X0400XDentistOrthodontics and Dentofacial Orthopedics23783TEXASNo
31223X0400XDentistOrthodontics and Dentofacial Orthopedics20402TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1142539904MEDICAIDTEXAS
2142539907MEDICAIDTEXAS
3174951702MEDICAIDTEXAS
4142539905MEDICAIDTEXAS
5174952502MEDICAIDTEXAS
61312131OTHERTEXASUNITED CONCORDIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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