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Ellis Orthodontics Pc
Orthodontics and Dentofacial Orthopedic Dentist in Annandale, Virginia
NPI 1588144125

Ellis Orthodontics Pc is a Orthodontics and Dentofacial Orthopedic Dentist based in Annandale, VA and is specialized in Orthodontics and Dentofacial Orthopedics. Ellis Orthodontics Pc practices in Annandale, VA. The NPI Number for Ellis Orthodontics Pc is 1588144125 and holds a License No. 040141131 (Virginia).

The current practice location address for Ellis Orthodontics Pc is 4600 John Marr Dr Ste 401, Annandale, VA and can be reached out via phone at 703-750-9393 and via fax at 703-750-5420. You can also correspond with Ellis Orthodontics Pc through the mailing address at 4600 JOHN MARR DR STE 401, ANNANDALE, VA - 22003-3310 (mailing address contact number: 703-750-9393).

Location: 4600 John Marr Dr Ste 401, Annandale, VA, 22003-3310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588144125
Provider Name
Ellis Orthodontics Pc
Credential
Provider Entity Type
Organization
Address
4600 John Marr Dr Ste 401, Annandale, VA, 22003-3310
Phone Number
703-750-9393
Fax Number
703-750-5420
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040141131 01 VA DENTAL LICENSE
0401413318 01 VA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
4600 John Marr Dr Ste 401
City
Annandale
State
Virginia
Zip
22003-3310
Phone Number
703-750-9393
Fax Number
703-750-5420
person
Provider Business Mailing Address Details
Address
4600 John Marr Dr Ste 401
City
Annandale
State
Virginia
Zip
22003-3310
Phone Number
703-750-9393
Fax Number
703-750-5420
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
040141131 (Virginia)
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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