| Myofunctional Orthodontist Llc | |
|
1266 W Main St Ste 1 Sun Prairie WI 53590-1922 | |
| (608) 471-8740 | |
| Not Available |
| Full Name | Myofunctional Orthodontist Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1266 W Main St Ste 1, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | Mark Kurchak (OWNER) |
| Authorized Official Contact | 5204910799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myofunctional Orthodontist Llc 1266 W Main St Ste 1 Sun Prairie WI 53590-1922 Ph: (608) 471-8740 | Myofunctional Orthodontist Llc 1266 W Main St Ste 1 Sun Prairie WI 53590-1922 Ph: (608) 471-8740 |
| NPI Number | 1558229054 |
|---|---|
| Provider Enumeration Date | 01/13/2026 |
| Last Update Date | 01/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558229054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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