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Dr. Herawati Tirtadjaja Kandou, DDS
Orthodontics and Dentofacial Orthopedic Dentist in Elizabeth, New Jersey
NPI 1023246105

Herawati Tirtadjaja Kandou is a Orthodontics and Dentofacial Orthopedic Dentist based in Elizabeth, NJ and is specialized in Orthodontics and Dentofacial Orthopedics. Herawati Tirtadjaja Kandou practices in Elizabeth, NJ and has the professional credentials of DDS. The NPI Number for Herawati Tirtadjaja Kandou is 1023246105 and holds a License No. 9708 (New Jersey).

The current practice location address for Herawati Tirtadjaja Kandou is 35 Jefferson Avenue, Elizabeth, NJ and can be reached out via phone at 908-354-1188 and via fax at 908-352-7390. You can also correspond with Herawati Tirtadjaja Kandou through the mailing address at 35 JEFFERSON AVENUE, ELIZABETH, NJ - 07201-2425 (mailing address contact number: 908-354-1188).

Location: 35 Jefferson Avenue, Elizabeth, NJ, 07201-2425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023246105
Provider Name
Herawati Tirtadjaja Kandou
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
35 Jefferson Avenue, Elizabeth, NJ, 07201-2425
Phone Number
908-354-1188
Fax Number
908-352-7390
Provider Enumeration Date
06/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3141209-01 05 NJ
institution
Provider Business Practice Location Address Details
Address
35 Jefferson Avenue
City
Elizabeth
State
New Jersey
Zip
07201-2425
Phone Number
908-354-1188
Fax Number
908-352-7390
person
Provider Business Mailing Address Details
Address
35 Jefferson Avenue
City
Elizabeth
State
New Jersey
Zip
07201-2425
Phone Number
908-354-1188
Fax Number
908-352-7390
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
3026 (New Jersey)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
9708 (New Jersey)
Definition
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.
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