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Pediatric Dentistry & Interceptive Orthodontics P.c.
Orthodontics and Dentofacial Orthopedic Dentist in Fayetteville, New York
NPI 1346300209

Pediatric Dentistry & Interceptive Orthodontics P.c. is a Orthodontics and Dentofacial Orthopedic Dentist based in Fayetteville, NY and is specialized in Orthodontics and Dentofacial Orthopedics. Pediatric Dentistry & Interceptive Orthodontics P.c. practices in Fayetteville, NY. The NPI Number for Pediatric Dentistry & Interceptive Orthodontics P.c. is 1346300209 and holds a License No. 027300 (New York).

The current practice location address for Pediatric Dentistry & Interceptive Orthodontics P.c. is 8016 E Genesee St, Fayetteville, NY and can be reached out via phone at 315-637-6961 and via fax at 315-637-0169.

Location: 8016 E Genesee St, Fayetteville, NY, 13066-9692
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346300209
Provider Name
Pediatric Dentistry & Interceptive Orthodontics P.c.
Credential
Provider Entity Type
Organization
Address
8016 E Genesee St, Fayetteville, NY, 13066-9692
Phone Number
315-637-6961
Fax Number
315-637-0169
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8016 E Genesee St
City
Fayetteville
State
New York
Zip
13066-9692
Phone Number
315-637-6961
Fax Number
315-637-0169
person
Provider Business Mailing Address Details
Address
8016 E Genesee St
City
Fayetteville
State
New York
Zip
13066-9692
Phone Number
315-637-6961
Fax Number
315-637-0169
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
043434 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
027300 (New York)
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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