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A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Medical Specialty |
261QM2500X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Prosthodontics |
1223P0700X |
| NPI Number | 1316527575 |
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| LBN Legal business name | SOUTHCENTRAL FOUNDATION | ||||
| Authorized official | RONALD OLSON - (EXECUTIVE VICE PRESIDENT FINANCE) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 04/12/2021 | ||||
| Last updated | 04/01/2026 - About 2 months ago | ||||
| Identifiers |
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SOUTHCENTRAL FOUNDATION