That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Periodontics | 1223P0300X |
* Indicates primary specialty
| NPI Number | 1538122890 |
| Credentials | DMD, MSD, PHD |
| Entity | Individual |
| Enumeration date | 04/08/2006 |
| Last updated | 07/19/2012 - About 14 years ago |
| Sole proprietor1 | No |
| 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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