Taxonomy Code 1223P0300X(1223p0300x)
Periodontist. Providers: 2

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Periodontist Providers

NPI Name Type Address

1245215128

DR. DDS MS Dennis M Connolly

Individual

2901 35th St

Kenosha, WI

1679064901

Southport Periodontics

Organization

5021 Washington Rd

Kenosha, 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 1223P0300X
Specialization Periodontics
Display Name Periodontist
Taxonomy Group Dental Providers
Taxonomy Classification Dentist
Definition That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Effective Date September 30, 2009
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Dentist Codes

Dentist

122300000X • providers: 112,055

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

Prosthodontist

1223P0700X • providers: 4,181

Public Health Dentist

1223D0001X • providers: 1,563