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ADVANCED ORTHODONTICS OF AMERICA LLC NPI 1881137842


NPI Information

NPI: 1881137842
Provider Name: ADVANCED ORTHODONTICS OF AMERICA, LLC
Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
2202 STATE AVE STE 200
PANAMA CITY, FL
ZIP 32405
Phone: (850) 769-2722
Get Directions

ADVANCED ORTHODONTICS OF AMERICA, LLC is an orthodontics and dentofacial orthopedics dentist in Panama City, FL. 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. ADVANCED ORTHODONTICS OF AMERICA, LLC NPI is 1881137842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2202 STATE AVE STE 200
PANAMA CITY, FL
ZIP 32405-582
Phone: (850) 769-2722

The provider's authorized official is Lauren Kovaleski .
The authorized official title is Manager and has the following contact phone number (850) 769-2722.

The enumeration date for this NPI number is 11/23/2016 and was last updated on 11/23/2016.


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 OrthopedicsDN19214FLORIDAYes

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
1007329900MEDICAIDFLORIDA

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: 11/14/2023

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