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NPI Profile for EASTSIDE DENTAL SPECIALISTS PLLC in EASTPOINTE, MI.
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endodontics |
1223E0200X | |||
Dental Hygienist |
124Q00000X | |||
Dentist |
122300000X | |||
General Practice |
1223G0001X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Orthodontics and Dentofacial Orthopedics |
1223X0400X | |||
Pediatric Dentistry |
1223P0221X | |||
Periodontics |
1223P0300X | |||
Prosthodontics |
1223P0700X |
| NPI # | 1740324052 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/19/2007 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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EASTSIDE DENTAL SPECIALISTS PLLC
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EASTSIDE DENTAL SPECIALISTS PLLC