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Dr. Kevin Manuel Rodriguez-lichtenberg, DDS,MPH
Pediatric Dentist in Princess Anne, Maryland
NPI 1790318152

Kevin Manuel Rodriguez-lichtenberg is a Pediatric Dentist based in Salisbury, MD and is specialized in Pediatric Dentistry. Kevin Manuel Rodriguez-lichtenberg practices in Princess Anne, MD and has the professional credentials of DDS,MPH. The NPI Number for Kevin Manuel Rodriguez-lichtenberg is 1790318152 and holds a License No. 0401417104 (Maryland).

The current practice location address for Kevin Manuel Rodriguez-lichtenberg is 12165 Elm St, Princess Anne, MD and can be reached out via phone at 410-749-1015 and via fax at 410-749-0654.

Location: 12165 Elm St, Princess Anne, MD, 21802-1978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790318152
Provider Name
Kevin Manuel Rodriguez-lichtenberg
Credential
DDS,MPH
Provider Entity Type
Individual
Gender
Male
Address
12165 Elm St, Princess Anne, MD, 21802-1978
Phone Number
410-749-1015
Fax Number
410-749-0654
Provider Enumeration Date
02/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119591300 05 MD
institution
Provider Business Practice Location Address Details
Address
12165 Elm St
City
Princess Anne
State
Maryland
Zip
21853-1358
Phone Number
410-749-1015
Fax Number
410-749-0654
person
Provider Business Mailing Address Details
Address
12165 Elm St
City
Princess Anne
State
Maryland
Zip
21853-1358
Phone Number
410-749-1015
Fax Number
410-749-0654
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
17358 (Maryland)
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.
0401417104 (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.
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