BIERDEMAN OTHODONTICS PA
NPI 1194904094
Dentist - Orthodontics and Dentofacial Orthopedics in Jackson, MS

Active since October 26, 2007
2680 RIVER RIDGE ROAD, JACKSON, MS 39216(601) 981-3036(601) 981-2959 Get Directions Write a Review

NPPES record last updated: October 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bierdeman Othodontics Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIERDEMAN OTHODONTICS PA (NPI 1194904094) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Jackson, Mississippi and active in the NPI registry since October 2007. The organization lists Karl Lee Bierdeman, President, as its authorized official.

NPPES Registry Identity

NPI1194904094
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameBIERDEMAN OTHODONTICS PA
Location Address2680 RIVER RIDGE ROADJackson, MS 39216-5018
Mailing Address2680 River Ridge RoadJackson, MS 39216-5018 · (601) 981-3036 · Fax (601) 981-2959
Fax(601) 981-2959
Organization SubpartNo
Authorized OfficialKarl Lee BierdemanPresident · (601) 981-3036
Enumeration DateOctober 26, 2007
NPI 1194904094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MS · OR15188
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.
2680 RIVER RIDGE ROAD, Jackson, MS 39216

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bierdeman Othodontics PA's NPI number?

The NPI number for Bierdeman Othodontics PA is 1194904094. It was assigned to this organization in the NPPES registry on October 26, 2007.

Where is Bierdeman Othodontics PA located?

Bierdeman Othodontics PA is located at 2680 River Ridge Road, Jackson, MS 39216. The listed phone number is (601) 981-3036.

What is Bierdeman Othodontics PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Bierdeman Othodontics PA was last updated on October 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.