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General NPI Number Information
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NPI Number | 1023032786
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Entity Type | Organization
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Legal Business Name | JOHN N. SANTIN D.D.S., INC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3503 FORTUNA DR SUITE 1
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City | AKRON
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State | OH
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Zip | 44312-5285
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Country | US
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Telephone | 330-645-6637
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Fax | 330-645-6688
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Provider Business Mailing Address
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Address Line | 3503 FORTUNA DR SUITE 1
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City | AKRON
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State | OH
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Zip | 44312-5285
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Country | US
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Telephone | 330-645-6637
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Fax | 330-645-6688
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Authorized Official
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Title or Position | ORAL AND MAXILLOFACIAL SURGEON
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Name | JOHN N SANTIN
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Credential | D.D.S.
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Telephone | 330-645-6637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 16792
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License Number State | OH
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