Taxonomy Code 122300000X(122300000x)
Dentist. Providers: 18

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Dentist Providers

NPI Name Type Address

1700882552

DR. DDS Warren G. Marinaccio

Individual

201 E Waldo Blvd

Manitowoc, WI

1689666232

DDS Peter Michael Hanson

Individual

1503 Randolph Ct

Manitowoc, WI

1699768853

DR. DDS Steven M Groddy

Individual

1503 Randolph Ct

Manitowoc, WI

1801889043

DDS Daniel R Boettcher

Individual

1503 Randolph Ct

Manitowoc, WI

1710970967

DDS Matthew R Culligan

Individual

1503 Randolph Ct

Manitowoc, WI

1114031200

MR. DDS William John Bero

Individual

2102 Marshall St

Manitowoc, WI

1982999405

MRS. D.D.S Abbie Ruth Kershner

Individual

4144 Harbor Town Ln Ste 600

Manitowoc, WI

1396090734

DR. D.M.D. Sumit Chanana

Individual

4125 Harbor Town Ln

Manitowoc, WI

1659431724

DDS Christopher Michael Kania

Individual

600 York St

Manitowoc, WI

1851703458

DDS Tara Ferris Stream

Individual

601 Buffalo St

Manitowoc, WI

1588292155

Tanu Khurana

Individual

4125 Harbor Town Ln

Manitowoc, WI

1770195810

DDS Patrick Thomas Berg

Individual

2719 Calumet Ave

Manitowoc, WI

1598878142

Smile Clinic, S.c.

Organization

1602 N 18th St

Manitowoc, WI

1639246127

Family Dental Center, Sc

Organization

3712 Kadow St

Manitowoc, WI

1962073577

DR. Kali Rose Disterhoft

Individual

33 E Waldo Blvd

Manitowoc, WI

1730769654

DR. DDS Lauren Marie Preston

Individual

4725 Plank Rd

Manitowoc, WI

1932835485

DMD Eli Vang

Individual

2719 Calumet Ave

Manitowoc, WI

1366166621

MR. DMD Beom Young Lee

Individual

2719 Calumet Ave

Manitowoc, WI

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