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General NPI Number Information
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NPI Number | 1013812387
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Entity Type | Organization
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Legal Business Name | OAK STAR DENTAL LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 435 N MAIN ST STE 200
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City | MILFORD
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State | MI
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Zip | 48381-1999
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Country | US
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Telephone | 248-979-7191
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Fax |
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Provider Business Mailing Address
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Address Line | 305 CURRY AVE
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City | ROYAL OAK
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State | MI
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Zip | 48067-1907
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Country | US
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Telephone | 248-979-7191
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ALEXA PERES
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Credential | DDS
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Telephone | 248-979-7191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | NULL
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