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Dr. Traci Rachelle Fernandes, DDS,MS
Orthodontics and Dentofacial Orthopedic Dentist in Pismo Beach, California
NPI 1619610847

Traci Rachelle Fernandes is a Orthodontics and Dentofacial Orthopedic Dentist based in Pismo Beach, CA and is specialized in Orthodontics and Dentofacial Orthopedics. Traci Rachelle Fernandes practices in Pismo Beach, CA and has the professional credentials of DDS,MS. The NPI Number for Traci Rachelle Fernandes is 1619610847 and holds a License No. 41830 (California).

The current practice location address for Traci Rachelle Fernandes is 901 Oak Park Blvd Ste 203, Pismo Beach, CA and can be reached out via phone at 805-489-8232 and via fax at 805-489-8234.

Location: 901 Oak Park Blvd Ste 203, Pismo Beach, CA, 93449-3410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619610847
Provider Name
Traci Rachelle Fernandes
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Female
Address
901 Oak Park Blvd Ste 203, Pismo Beach, CA, 93449-3410
Phone Number
805-489-8232
Fax Number
805-489-8234
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225042120 01 CA NPI 2
institution
Provider Business Practice Location Address Details
Address
901 Oak Park Blvd Ste 203
City
Pismo Beach
State
California
Zip
93449-3410
Phone Number
805-489-8232
Fax Number
805-489-8234
person
Provider Business Mailing Address Details
Address
901 Oak Park Blvd Ste 203
City
Pismo Beach
State
California
Zip
93449-3410
Phone Number
805-489-8232
Fax Number
805-489-8234
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
41830 (California)
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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