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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 | |||
Endodontics |
1223E0200X | |||
Orthodontics and Dentofacial Orthopedics |
1223X0400X | |||
Pediatric Dentistry |
1223P0221X | |||
Periodontics |
1223P0300X | |||
Prosthodontics |
1223P0700X |
| NPI # | 1962472373 |
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| LBN Legal business name | DCP OF MICHIGAN (LAKESIDE), P.C. | ||||
| Authorized official | CHARLES SMITH - (DENTIST/OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 01/26/2006 | ||||
| Last updated | 12/09/2016 - About 9 years ago | ||||
| Identifiers |
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DCP OF MICHIGAN (LAKESIDE), P.C.
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DCP OF MICHIGAN (LAKESIDE), P.C.