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Southern Orthodontics
Orthodontics and Dentofacial Orthopedic Dentist in Moultrie, Georgia
NPI 1548473754

Southern Orthodontics is a Orthodontics and Dentofacial Orthopedic Dentist based in Moultrie, GA and is specialized in Orthodontics and Dentofacial Orthopedics. Southern Orthodontics practices in Moultrie, GA. The NPI Number for Southern Orthodontics is 1548473754 and holds a License No. 11208 (Georgia).

The current practice location address for Southern Orthodontics is 12 Long Leaf Office Park, Moultrie, GA and can be reached out via phone at 229-985-4715 and via fax at 229-985-0997.

Location: 12 Long Leaf Office Park, Moultrie, GA, 31768-6780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548473754
Provider Name
Southern Orthodontics
Credential
Provider Entity Type
Organization
Address
12 Long Leaf Office Park, Moultrie, GA, 31768-6780
Phone Number
229-985-4715
Fax Number
229-985-0997
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11208 01 GA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
12 Long Leaf Office Park
City
Moultrie
State
Georgia
Zip
31768-6780
Phone Number
229-985-4715
Fax Number
229-985-0997
person
Provider Business Mailing Address Details
Address
12 Long Leaf Office Park
City
Moultrie
State
Georgia
Zip
31768-6780
Phone Number
229-985-4715
Fax Number
229-985-0997
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
11208 (Georgia)
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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