The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Oral and Maxillofacial Surgery | 1223S0112X |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |
| General Practice | 1223G0001X | |
| Orofacial Pain | 1223X2210X |
* Indicates primary specialty
| NPI Number | 1568650877 |
| Credentials | DDS (Doctor of Dental Surgery) |
| Entity | Individual |
| Enumeration date | 10/11/2007 |
| Last updated | 12/14/2021 - About 4 years ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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