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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 | |||
Dentist Anesthesiologist |
1223D0004X | |||
Endodontics |
1223E0200X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Pediatric Dentistry |
1223P0221X | |||
Periodontics |
1223P0300X |
| NPI # | 1346898293 |
| LBN Legal business name | BRIDGEPORT RIVER DENTAL PC |
| Authorized official | MICHELLE JACOMINO - (DIRECTOR OF PAYOR RELATIONS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/03/2019 |
| Last updated | 09/03/2019 - About 7 years ago |
| Identifiers | n/a |
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BRIDGEPORT RIVER DENTAL PC
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BRIDGEPORT RIVER DENTAL PC