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General NPI Number Information
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NPI Number | 1013853951
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Entity Type | Organization
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Legal Business Name | TOOTH TROOP DENTAL GROUP PLLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 2541 WINDGUARD CIR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-7349
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Country | US
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Telephone | 407-259-1161
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Fax | 813-768-0583
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Provider Business Mailing Address
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Address Line | 2541 WINDGUARD CIR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-7349
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Country | US
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Telephone | 407-259-1161
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Fax | 813-768-0583
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Authorized Official
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Title or Position | MEMBER
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Name | JAY SKIPPER
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Credential | DDS
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Telephone | 272-212-1820
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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 |
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License Number State |
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