A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Dental Therapist | 125J00000X |
* Indicates primary specialty
| NPI Number | 1336487131 |
| Legal business name LBN |
BRONX RIVER DENTAL P.C. |
| Authorized official | EZRO FATTAKHOV - (DOCTOR/OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 01/29/2013 |
| Last updated | 11/14/2013 - About 13 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
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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