LAKE PLEASANT ORTHODONTIC SPECIALISTS NPI 1366627960

NPI Information

  • NPI: 1366627960
  • Provider Name: LAKE PLEASANT ORTHODONTIC SPECIALISTS
  • Classification: Dentist - 1223X0400X
  • Specialization: Orthodontics and Dentofacial Orthopedics
  • Entity Type: Organization
  • Address: 10006 W HAPPY VALLEY RD
    SUITE1220
    PEORIA, AZ
    ZIP 85383
  • Phone: (623) 486-3377

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NPI Details

LAKE PLEASANT ORTHODONTIC SPECIALISTS is an orthodontics and dentofacial orthopedics dentist in Peoria, AZ. 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. LAKE PLEASANT ORTHODONTIC SPECIALISTS NPI is 1366627960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10006 W HAPPY VALLEY RD
SUITE1220
PEORIA, AZ
ZIP 85383-235
Phone: (623) 486-3377
Fax: (623) 825-1987

The provider's authorized official is Troy L. Christensen .
The authorized official title is Orthodontist - Owner and has the following contact phone number (623) 486-3377.

The enumeration date for this NPI number is 1/2/2008 and was last updated on 1/2/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsD5668ARIZONAYes

What is NPI?

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This page was last updated on: 3/30/2025

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