DOUGLAS D PODOLL DDS DC NPI 1568566057

NPI Details

DOUGLAS D PODOLL DDS DC is an orthodontics and dentofacial orthopedics dentist in Amery, WI. 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. DOUGLAS D PODOLL DDS DC NPI is 1568566057. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

404 WISCONSIN AVE
AMERY, WI
ZIP 54001
Phone: (715) 268-8109
Fax: (715) 268-4620

The provider's authorized official is Douglas D Podoll .
The authorized official title is President and has the following contact phone number (715) 268-8109.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/22/2020.

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: