| Name | Value |
|---|---|
| PROVIDER TYPE | Dental Providers |
| CLASSIFICATION | Dentist |
| DEFINITION | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| AREA OF SPECIALIZATION | General Practice |
| STATUS | Active |
| VA CODE | V030502 |
| X12 CODE | 1223G0001X |
| reserved | P211 |
| SPECIALTY CODE | C5 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252480 |
| EFFECTIVE DATE/TIME |
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