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Dr. Blake Denton Boleware, DMD,MS
Orthodontics and Dentofacial Orthopedic Dentist in Ridgeland, Mississippi
NPI 1881200673

Blake Denton Boleware is a Orthodontics and Dentofacial Orthopedic Dentist based in Ridgeland, MS and is specialized in Orthodontics and Dentofacial Orthopedics. Blake Denton Boleware practices in Ridgeland, MS and has the professional credentials of DMD,MS. The NPI Number for Blake Denton Boleware is 1881200673 and holds a License No. OR-575-20 (Mississippi).

The current practice location address for Blake Denton Boleware is 525 Thomastown Ln Ste A, Ridgeland, MS and can be reached out via phone at 601-856-3054.

Location: 525 Thomastown Ln Ste A, Ridgeland, MS, 39157-3440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881200673
Provider Name
Blake Denton Boleware
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
525 Thomastown Ln Ste A, Ridgeland, MS, 39157-3440
Phone Number
601-856-3054
Fax Number
Provider Enumeration Date
09/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
525 Thomastown Ln Ste A
City
Ridgeland
State
Mississippi
Zip
39157-3440
Phone Number
601-856-3054
Fax Number
person
Provider Business Mailing Address Details
Address
525 Thomastown Ln Ste A
City
Ridgeland
State
Mississippi
Zip
39157-3440
Phone Number
601-856-3054
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
OR-575-20 (Mississippi)
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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