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Dr. Russell Evans Speer, DDS
Orthodontics and Dentofacial Orthopedic Dentist in Merced, California
NPI 1922089986

Russell Evans Speer is a Orthodontics and Dentofacial Orthopedic Dentist based in Merced, CA and is specialized in Orthodontics and Dentofacial Orthopedics. Russell Evans Speer practices in Merced, CA and has the professional credentials of DDS. The NPI Number for Russell Evans Speer is 1922089986 and holds a License No. 26788 (California).

The current practice location address for Russell Evans Speer is 564 W 25Th St, Merced, CA and can be reached out via phone at 209-722-6257.

Location: 564 W 25Th St, Merced, CA, 95340-2828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922089986
Provider Name
Russell Evans Speer
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
564 W 25Th St, Merced, CA, 95340-2828
Phone Number
209-722-6257
Fax Number
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D26788 05 CA
G9217501 01 CA MEDICAL BILLING PROVIDER
887064 01 PA UNITED CONCORDIA TRICARE
institution
Provider Business Practice Location Address Details
Address
564 W 25Th St
City
Merced
State
California
Zip
95340-2828
Phone Number
209-722-6257
Fax Number
person
Provider Business Mailing Address Details
Address
564 W 25Th St
City
Merced
State
California
Zip
95340-2828
Phone Number
209-722-6257
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
26788 (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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