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Dr. Shane Radford, DMD
Orthodontics and Dentofacial Orthopedic Dentist in Southaven, Mississippi
NPI 1174246425

Shane Radford is a Orthodontics and Dentofacial Orthopedic Dentist based in Southaven, MS and is specialized in Orthodontics and Dentofacial Orthopedics. Shane Radford practices in Southaven, MS and has the professional credentials of DMD. The NPI Number for Shane Radford is 1174246425 and holds a License No. 11860 (Mississippi).

The current practice location address for Shane Radford is 2925 Nail Rd E Ste 2, Southaven, MS and can be reached out via phone at 662-536-3661. You can also correspond with Shane Radford through the mailing address at 1356 SAINT CLAIRE PARK, SOUTHAVEN, MS - 38671-7040 (mailing address contact number: ).

Location: 2925 Nail Rd E Ste 2, Southaven, MS, 38671-7040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174246425
Provider Name
Shane Radford
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2925 Nail Rd E Ste 2, Southaven, MS, 38671-7040
Phone Number
662-536-3661
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2925 Nail Rd E Ste 2
City
Southaven
State
Mississippi
Zip
38672-6707
Phone Number
662-536-3661
Fax Number
person
Provider Business Mailing Address Details
Address
1356 Saint Claire Park
City
Southaven
State
Mississippi
Zip
38671-7040
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
11860 (Tennessee)
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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