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Dr. Isis El Ghannam, DDS
Orthodontics and Dentofacial Orthopedic Dentist in Miami, Florida
NPI 1316487531

Isis El Ghannam is a Orthodontics and Dentofacial Orthopedic Dentist based in Medley, FL and is specialized in Orthodontics and Dentofacial Orthopedics. Isis El Ghannam practices in Miami, FL and has the professional credentials of DDS. The NPI Number for Isis El Ghannam is 1316487531 and holds a License No. DN24480 (Florida).

The current practice location address for Isis El Ghannam is 1611 Nw 12Th Ave, Miami, FL and can be reached out via phone at 305-689-6725.

Location: 1611 Nw 12Th Ave, Miami, FL, 33166-7441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316487531
Provider Name
Isis El Ghannam
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1611 Nw 12Th Ave, Miami, FL, 33166-7441
Phone Number
305-689-6725
Fax Number
Provider Enumeration Date
03/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1611 Nw 12Th Ave
City
Miami
State
Florida
Zip
33136-1005
Phone Number
305-689-6725
Fax Number
person
Provider Business Mailing Address Details
Address
1611 Nw 12Th Ave
City
Miami
State
Florida
Zip
33136-1005
Phone Number
305-689-6725
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN24480 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN24480 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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