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Mullasseril Pc
Orthodontics and Dentofacial Orthopedic Dentist in Shawnee, Oklahoma
NPI 1922366475

Mullasseril Pc is a Orthodontics and Dentofacial Orthopedic Dentist based in Shawnee, OK and is specialized in Orthodontics and Dentofacial Orthopedics. Mullasseril Pc practices in Shawnee, OK. The NPI Number for Mullasseril Pc is 1922366475 and holds a License No. 172 (Oklahoma).

The current practice location address for Mullasseril Pc is 504 Shawnee Mall Dr, Shawnee, OK and can be reached out via phone at 405-878-8899 and via fax at 405-878-8896. You can also correspond with Mullasseril Pc through the mailing address at 504 SHAWNEE MALL DR, SHAWNEE, OK - 74804-1317 (mailing address contact number: 405-878-8899).

Location: 504 Shawnee Mall Dr, Shawnee, OK, 74804-1317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922366475
Provider Name
Mullasseril Pc
Credential
Provider Entity Type
Organization
Address
504 Shawnee Mall Dr, Shawnee, OK, 74804-1317
Phone Number
405-878-8899
Fax Number
405-878-8896
Provider Enumeration Date
05/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200432170A 05 OK
institution
Provider Business Practice Location Address Details
Address
504 Shawnee Mall Dr
City
Shawnee
State
Oklahoma
Zip
74804-1317
Phone Number
405-878-8899
Fax Number
405-878-8896
person
Provider Business Mailing Address Details
Address
504 Shawnee Mall Dr
City
Shawnee
State
Oklahoma
Zip
74804-1317
Phone Number
405-878-8899
Fax Number
405-878-8896
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
172 (Oklahoma)
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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