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NPI Profile for EFFINGHAM ENDODONTIST in EFFINGHAM, IL.
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 |
| NPI Number | 1871304055 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/16/2025 | |
| Last updated | 07/10/2025 - About 11 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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EFFINGHAM ENDODONTIST
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EFFINGHAM ENDODONTIST