Dr. Herawati Tirtadjaja Kandou is a Elizabeth, New Jersey based Orthodontics. Active license number of Dr. Herawati Tirtadjaja Kandou is 9708 in New Jersey. Her current practice location is 35 Jefferson Avenue, Elizabeth. Patients can reach her at 908-354-1188 or can fax her at 908-352-7390. Dr. Herawati Tirtadjaja Kandou is DDS in Orthodontics and her NPI number (Unique professional ID assigned by NPPES) is 1023246105. Dr. Herawati Tirtadjaja Kandou major responsibilities 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.
Orthodontists are also called dentofacial orthopedics who deals with 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.
Complete Profile:
Dr. Herawati Tirtadjaja Kandou speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthodontics
Credentials:
DDS
Gender:
Female
Practice Address:
35 Jefferson Avenue, Elizabeth, New Jersey, 07201-2425
Phone:
908-354-1188
Fax:
908-352-7390
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 are as mentioned below.
NPI Number:
1023246105
NPI Enumeration Date:
26 Jun, 2009
NPI Last Update On:
26 Jun, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Herawati Tirtadjaja Kandou are as mentioned below.
License Number
Specialization
State
Status
9708
New Jersey
Primary
3026
Orthodontics
New Jersey
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Herawati Tirtadjaja Kandou such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3141209-01
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
35 Jefferson Avenue, Elizabeth, New Jersey
Zip:
07201-2425
Phone Number:
908-354-1188
Fax Number:
908-352-7390
Patients can reach Dr. Herawati Tirtadjaja Kandou at 35 Jefferson Avenue, Elizabeth, New Jersey or can call to book an appointment on 908-354-1188. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.