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NPI Profile for FAMILY DENTAL CARE OF BELVIDERE in BELVIDERE, IL.
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Endodontics |
1223E0200X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Pediatric Dentistry |
1223P0221X |
| NPI Number | 1922547546 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/15/2017 | |
| Last updated | 02/15/2017 - About 9 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FAMILY DENTAL CARE OF BELVIDERE
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FAMILY DENTAL CARE OF BELVIDERE