A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Orofacial Pain | 1223X2210X |
| Dentist | 122300000X | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |
| Oral and Maxillofacial Surgery | 1223S0112X |
* Indicates primary specialty
| NPI Number | 1043541907 |
| Credentials | DDS (Doctor of Dental Surgery) |
| Entity | Individual |
| Enumeration date | 01/15/2010 |
| Last updated | 06/10/2024 - More than a year 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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