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 | |||
Dental Hygienist |
124Q00000X | |||
Dentist |
122300000X | |||
Endodontics |
1223E0200X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Orthodontics and Dentofacial Orthopedics |
1223X0400X | |||
Pediatric Dentistry |
1223P0221X | |||
Periodontics |
1223P0300X | |||
Prosthodontics |
1223P0700X |
| NPI Number | 1841383841 |
| LBN Legal business name | PREFERRED DENTAL PRACTICE, PC |
| Authorized official | TIMOTHY DEMEULENAERE - (GENERAL DENTIST/PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/02/2006 |
| Last updated | 07/31/2024 - More than a year ago |
| Identifiers | n/a |
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