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 | 1223D0004X | Dentist | Dentist Anesthesiologist | | | No |
| 4 | 1223X0008X | Dentist | Oral and Maxillofacial Radiology | | | No |
| 5 | 1223X0400X | Dentist | Orthodontics and Dentofacial Orthopedics | | | No |
| 6 | 1223X2210X | Dentist | Orofacial Pain | | | No |
| 7 | 1223P0300X | Dentist | Periodontics | | | No |
| 8 | 1223E0200X | Dentist | Endodontics | | | No |
| 9 | 1223P0106X | Dentist | Oral and Maxillofacial Pathology | | | No |
| 10 | 1223P0700X | Dentist | Prosthodontics | | | No |
| 11 | 1223S0112X | Dentist | Oral and Maxillofacial Surgery | | | No |
| 12 | 1223P0221X | Dentist | Pediatric Dentistry | | | No |
| 13 | 1223G0001X | Dentist | General Practice | | | Yes |