Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 122300000X | Dentist | | | | No |
| 2 | 1223D0001X | Dentist | Dental Public Health | | | No |
| 3 | 1223E0200X | Dentist | Endodontics | | | No |
| 4 | 1223P0106X | Dentist | Oral and Maxillofacial Pathology | | | No |
| 5 | 1223P0221X | Dentist | Pediatric Dentistry | | | No |
| 6 | 1223P0300X | Dentist | Periodontics | | | No |
| 7 | 1223P0700X | Dentist | Prosthodontics | | | No |
| 8 | 1223S0112X | Dentist | Oral and Maxillofacial Surgery | | | No |
| 9 | 124Q00000X | Dental Hygienist | | | | No |
| 10 | 1223G0001X | Dentist | General Practice | | | Yes |