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Travis William Wille, DDS,MS
Orthodontics and Dentofacial Orthopedic Dentist in Forest Lake, Minnesota
NPI 1609993278

Travis William Wille is a Orthodontics and Dentofacial Orthopedic Dentist based in Forest Lake, MN and is specialized in Orthodontics and Dentofacial Orthopedics. Travis William Wille practices in Forest Lake, MN and has the professional credentials of DDS,MS. The NPI Number for Travis William Wille is 1609993278 and holds a License No. 11552 (Minnesota).

The current practice location address for Travis William Wille is 69 Lake St N, Forest Lake, MN and can be reached out via phone at 651-464-8065 and via fax at 651-464-5432.

Location: 69 Lake St N, Forest Lake, MN, 55025-2513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609993278
Provider Name
Travis William Wille
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
69 Lake St N, Forest Lake, MN, 55025-2513
Phone Number
651-464-8065
Fax Number
651-464-5432
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
69 Lake St N
City
Forest Lake
State
Minnesota
Zip
55025-2513
Phone Number
651-464-8065
Fax Number
651-464-5432
person
Provider Business Mailing Address Details
Address
69 Lake St N
City
Forest Lake
State
Minnesota
Zip
55025-2513
Phone Number
651-464-8065
Fax Number
651-464-5432
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
11552 (Minnesota)
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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