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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 |
122300000X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Periodontics |
1223P0300X |
| NPI Number | 1609390632 |
| LBN Legal business name | 38TH MODERN DENTAL PRACTICE, LLC |
| Authorized official | SCOTT FREDERICK - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/01/2017 |
| Last updated | 08/01/2017 - About 9 years ago |
| Identifiers | n/a |
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38TH MODERN DENTAL PRACTICE, LLC