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Dr. Kathryn Dundervill, DMD
Pediatric Dentist in Raleigh, North Carolina
NPI 1669097143

Kathryn Dundervill is a Pediatric Dentist based in Raleigh, NC and is specialized in Pediatric Dentistry. Kathryn Dundervill practices in Raleigh, NC and has the professional credentials of DMD. The NPI Number for Kathryn Dundervill is 1669097143 and holds a License No. 12624 (North Carolina).

The current practice location address for Kathryn Dundervill is 7401 Creedmoor Rd, Raleigh, NC and can be reached out via phone at 919-719-1780.

Location: 7401 Creedmoor Rd, Raleigh, NC, 27604-0007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669097143
Provider Name
Kathryn Dundervill
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
7401 Creedmoor Rd, Raleigh, NC, 27604-0007
Phone Number
919-719-1780
Fax Number
Provider Enumeration Date
06/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7401 Creedmoor Rd
City
Raleigh
State
North Carolina
Zip
27613-1640
Phone Number
919-719-1780
Fax Number
person
Provider Business Mailing Address Details
Address
7401 Creedmoor Rd
City
Raleigh
State
North Carolina
Zip
27613-1640
Phone Number
919-719-1780
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
12624 (North Carolina)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
0442000383 (Virginia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
12624 (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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