A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Preferred Provider Organization |
305R00000X | |||
Emergency Medical Technician, Basic |
146N00000X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Oral Medicinist |
125Q00000X | |||
Orofacial Pain |
1223X2210X |
| NPI # | 1871034314 |
||||||||
| LBN Legal business name | NEW DENTAL28 PLLC | ||||||||
| Authorized official | XINGXUE HU - (DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 03/16/2017 | ||||||||
| Last updated | 10/14/2021 - About 5 years ago | ||||||||
| Identifiers |
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NEW DENTAL28 PLLC
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