Taxonomy Code 122300000X(122300000x)
Dentist. Providers: 66

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Dentist Providers

NPI Name Type Address

1629427182

DR. D.D.S. Dane Nelson

Individual

2410 Sampson St

Captain James A. Lovell Federal Health Care Center

Great Lakes, IL

1619424678

DDS Zachary Breen

Individual

3440 Ohio St

Great Lakes, IL

1972050771

DR. D.D.S. Curtis Roundy

Individual

3440 Ohio St

Great Lakes, IL

1174049704

DDS Justin Paz

Individual

2410 Sampson St

Great Lakes, IL

1679090518

DR. DMD Thanh-nhan Thomas Vu

Individual

3440 Ohio St

Great Lakes, IL

1467971119

Richard Flynn

Individual

3440 Ohio St

Great Lakes, IL

1609385368

DR. DDS Bradley David Revenis

Individual

2470 Sampson Street

Great Lakes, IL

1740775675

DR. DMD Nathaniel Alexander Holt

Individual

3440 Ohio St

Great Lakes, IL

1285120543

DR. D.D.S. Daria Hyeri Lee

Individual

3440 Ohio St

Great Lakes, IL

1780160556

DR. DMD Clinton Bissell Butler III

Individual

2410 Sampson St

Great Lakes, IL

1942786710

DR. DDS Joseph Phillip Yancho

Individual

2410 Sampson St

Great Lakes, IL

1043878358

DDS Shannan Jesse Walker

Individual

2410 Sampson St

Great Lakes, IL

1821658501

DMD Marin Rhea Lehman

Individual

2410 Sampson St

Great Lakes, IL

1194386300

DDS Chase James Gottschalk

Individual

3440 Ohio St

Great Lakes, IL

1225690670

DR. DMD Jin Wung Hwang

Individual

2410 Sampson St

Great Lakes, IL

1356997076

DDS Bradley Shemluck

Individual

3440 Ohio St

Great Lakes, IL

1457992240

DMD Thomas-eden Carr Pike

Individual

2470 Sampson Street

Great Lakes, IL

1225656564

DDS Cameron Dutt

Individual

3440 Ohio St

Great Lakes, IL

1023628948

DDS Won Hee Yu

Individual

1906 Arkansas Ave

Great Lakes, IL

1346850260

Peter Yao

Individual

2410 Sampson St

Great Lakes, IL

How to obtain, renew, or terminate an NPI

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