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Broad Street Braces
Orthodontics and Dentofacial Orthopedic Dentist in Philadelphia, Pennsylvania
NPI 1649629189

Broad Street Braces is a Orthodontics and Dentofacial Orthopedic Dentist based in Philadelphia, PA and is specialized in Orthodontics and Dentofacial Orthopedics. Broad Street Braces practices in Philadelphia, PA. The NPI Number for Broad Street Braces is 1649629189 and holds a License No. DS039143 (Pennsylvania).

The current practice location address for Broad Street Braces is 2010 S Juniper St, Philadelphia, PA and can be reached out via phone at 201-452-9270.

Location: 2010 S Juniper St, Philadelphia, PA, 19148-5509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649629189
Provider Name
Broad Street Braces
Credential
Provider Entity Type
Organization
Address
2010 S Juniper St, Philadelphia, PA, 19148-5509
Phone Number
201-452-9270
Fax Number
Provider Enumeration Date
06/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1028648360001 05 PA
institution
Provider Business Practice Location Address Details
Address
2010 S Juniper St
City
Philadelphia
State
Pennsylvania
Zip
19148-5509
Phone Number
201-452-9270
Fax Number
person
Provider Business Mailing Address Details
Address
2010 S Juniper St
City
Philadelphia
State
Pennsylvania
Zip
19148-5509
Phone Number
201-452-9270
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
DS039143 (Pennsylvania)
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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