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The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
General Practice |
1223G0001X | |||
Periodontics |
1223P0300X |
| NPI Number | 1427116854 |
| LBN Legal business name | MAPLE SHADE DENTAL GROUP |
| Authorized official | RODNEY WILLEY - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/05/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Identifiers | n/a |
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MAPLE SHADE DENTAL GROUP
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MAPLE SHADE DENTAL GROUP