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General NPI Number Information
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NPI Number | 1023520426
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Entity Type | Organization
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Legal Business Name | JAMES D. DINGER, DMD, LLC
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 853 NW MONROE AVE
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City | CORVALLIS
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State | OR
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Zip | 97330-6352
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Country | US
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Telephone | 360-836-2087
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Fax |
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Provider Business Mailing Address
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Address Line | 853 NW MONROE AVE
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City | CORVALLIS
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State | OR
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Zip | 97330-6352
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Country | US
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Telephone | 541-754-1550
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Fax | 541-754-0558
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. JAMES DOUGLAS DINGER
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Credential | DMD
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Telephone | 360-836-2087
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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 |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | D9812
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License Number State | OR
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