Taxonomy Code 122300000X(122300000x)
Dentist. Providers: 16

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Dentist Providers

NPI Name Type Address

1003954819

DR. D.M.D. Melissa Ann Porter

Individual

134 Mckinley St

East Peoria, IL

1245522267

Maple Shade Dental (east Peoria) Llc

Organization

1001 Illini Dr

East Peoria, IL

1487921490

Michael Connolly

Individual

1001 Illini Dr

East Peoria, IL

1073888079

DR. D.D.S. Michael Norman Gabor

Individual

133 Oakmoor Dr.

East Peoria, IL

1326309188

DR. D.D.S. Thomas R Nalepka

Individual

809 W Camp St

East Peoria, IL

1497003156

Maple Shade Dental Camp Street Llc

Organization

809 W Camp St

East Peoria, IL

1962745232

Central Illinois Center For Tmj And Facial Pain Pc

Organization

731 Sabrina Dr

Suite A

East Peoria, IL

1346546421

Central Illinois Center For Tmj And Facial Pain, P.c.

Organization

731 Sabrina Dr

Suite A

East Peoria, IL

1669812103

DMD Christopher Webb

Individual

360 West Washington Street

East Peoria, IL

1427166008

DR. DDS Jack Glenn Walz

Individual

731 Sabrina Drive

Ste A

East Peoria, IL

1346697380

DR. Lyndon Andrews

Individual

220 W Washington St

East Peoria, IL

1124689138

Taylor Pham

Individual

368 W Washington St

East Peoria, IL

1740806686

DR. DDS Eduardo Daniel Gonzalez

Individual

220 W Washington St

East Peoria, IL

1093384828

DR. DMD Morgan Marie Shanahan

Individual

809 W Camp St

East Peoria, IL

1043737919

DDS Syed Muhammad Shahabuddin

Individual

368 W Washington St

East Peoria, IL

1083339626

DR. DDS Seo Woo Choi

Individual

502 Riverside Dr

East Peoria, IL

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Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 122300000X
Display Name Dentist
Taxonomy Group Dental Providers
Taxonomy Classification Dentist
Definition A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Effective Date September 30, 2009
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Dentist Codes

Dentist Anesthesiologist

1223D0004X • providers: 400

Endodontist

1223E0200X • providers: 8,219

General Practice Dentistry

1223G0001X • providers: 163,497

Oral and Maxillofacial Pathology Dentist

1223P0106X • providers: 875

Oral and Maxillofacial Radiology Dentist

1223X0008X • providers: 179

Oral and Maxillofacial Surgery (Dentist)

1223S0112X • providers: 11,442

Orofacial Pain Dentist

1223X2210X • providers: 99

Orthodontics and Dentofacial Orthopedic Dentist

1223X0400X • providers: 18,668

Pediatric Dentist

1223P0221X • providers: 14,509

Periodontist

1223P0300X • providers: 7,887

Prosthodontist

1223P0700X • providers: 4,181

Public Health Dentist

1223D0001X • providers: 1,563