Individual provider · Type 1 NPI

Jacqueline Maddox

Dentist · Bohemia, NY

NPI number 1497175897 Active

Practice location

1125 Smithtown Ave
Bohemia, NY 11716-2160

Mailing address

11 43rd St
Centereach, NY 11720-2326

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X057987 (NY)

Dentist: 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 requiremen…

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About NPI 1497175897

Jacqueline Maddox's National Provider Identifier is 1497175897, issued on Apr 24, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bohemia, NY. The record was last updated on Aug 30, 2021.