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General NPI Number Information
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NPI Number | 1003016437
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Entity Type | Organization
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Legal Business Name | MOBILE DENTAL CARE LLC
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 1064 GARDNER RD STE 101
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City | CHARLESTON
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State | SC
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Zip | 29407-5768
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Country | US
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Telephone | 843-766-6194
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Fax |
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Provider Business Mailing Address
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Address Line | 1064 GARDNER RD STE 101
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City | CHARLESTON
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State | SC
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Zip | 29407-5768
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Country | US
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Telephone | 843-766-6194
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. JOHN E REESE
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Credential | DMD
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Telephone | 843-766-6194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | SC3654
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License Number State | SC
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