An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pediatric Dentistry | 1223P0221X |
| Dental Public Health | 1223D0001X |
* Indicates primary specialty
| NPI Number | 1386135937 |
| Credentials | |
| Entity | Individual |
| Enumeration date | 05/18/2018 |
| Last updated | 06/18/2025 - About 12 months 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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