is a Orthodontics and Dentofacial Clinic in Novato, California. It is located at 1730 Novato Blvd, Suite I, Novato, CA and its contact number is 415-897-4191. The authorized person for is Dr. Greg Charles Miller
who is Ceo of the clinic and their contact number is 562-900-9263. The primary license number for is 55699 (Orthodontics and Dentofacial Orthopedics) in California. Clinic is 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.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
1730 Novato Blvd, Suite I, Novato, California, 94947-3048
Phone:
415-897-4191
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Greg Charles Miller
Position:
Ceo
Contact Number:
562-900-9263
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1851768360
NPI Enumeration Date:
01 Sep, 2015
NPI Last Update On:
01 Sep, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
55699
California
Primary
Orthodontics and Dentofacial Orthopedics
53002
California
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1730 Novato Blvd, Suite I Novato, California
Zip:
94947-3048
Phone Number:
415-897-4191
Patients can reach at 1730 Novato Blvd, Suite I, Novato, California or can call to book an appointment on 415-897-4191. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.