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Daniela Vivaldi, DDS
Orofacial Pain Dentist in Raleigh, North Carolina
NPI 1558814491

Daniela Vivaldi is a Orofacial Pain Dentist based in Raleigh, NC and is specialized in Orofacial Pain. Daniela Vivaldi practices in Raleigh, NC and has the professional credentials of DDS. The NPI Number for Daniela Vivaldi is 1558814491 and holds a License No. 0225 (North Carolina).

The current practice location address for Daniela Vivaldi is 10207 Cerny St Ste 114, Raleigh, NC and can be reached out via phone at 919-660-9000.

Location: 10207 Cerny St Ste 114, Raleigh, NC, 27617-4880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558814491
Provider Name
Daniela Vivaldi
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
10207 Cerny St Ste 114, Raleigh, NC, 27617-4880
Phone Number
919-660-9000
Fax Number
Provider Enumeration Date
07/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10207 Cerny St Ste 114
City
Raleigh
State
North Carolina
Zip
27617-4880
Phone Number
919-660-9000
Fax Number
person
Provider Business Mailing Address Details
Address
10207 Cerny St Ste 114
City
Raleigh
State
North Carolina
Zip
27617-4880
Phone Number
919-660-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
151115 (North Carolina)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0225 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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