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 | 1223S0112X | Dentist | Oral and Maxillofacial Surgery | | | No |
| 2 | 1223X2210X | Dentist | Orofacial Pain | | | No |
| 3 | 1223X0008X | Dentist | Oral and Maxillofacial Radiology | | | No |
| 4 | 124Q00000X | Dental Hygienist | | | | No |
| 5 | 126800000X | Dental Assistant | | | | No |
| 6 | 126900000X | Dental Laboratory Technician | | | | No |
| 7 | 1223P0106X | Dentist | Oral and Maxillofacial Pathology | | | No |
| 8 | 1223P0221X | Dentist | Pediatric Dentistry | | | No |
| 9 | 1223P0300X | Dentist | Periodontics | | | No |
| 10 | 1223P0700X | Dentist | Prosthodontics | | | No |
| 11 | 122300000X | Dentist | | | | No |
| 12 | 1223D0001X | Dentist | Dental Public Health | | | No |
| 13 | 1223D0004X | Dentist | Dentist Anesthesiologist | | | No |
| 14 | 1223E0200X | Dentist | Endodontics | | | No |
| 15 | 1223G0001X | Dentist | General Practice | | | Yes |