That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Prosthodontics | 1223P0700X |
* Indicates primary specialty
| NPI Number | 1619088853 |
| Credentials | DDS MS |
| Entity | Individual |
| Enumeration date | 08/31/2006 |
| Last updated | 02/05/2021 - About 5 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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