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NPI 1033021456

NPI 1033021456 : ELIZABETH LAPENNA, DMD, PLLC : WAXHAW, NC

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General NPI Number Information
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    NPI Number           |    1033021456
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    Entity Type          |    Organization 
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    Legal Business Name  |    ELIZABETH LAPENNA, DMD, PLLC 
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Dates
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    Enumeration Date     |    09/21/2026
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    Last Update Date     |    09/21/2026
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Provider Practice Location Address
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    Address Line         |    3719 PROVIDENCE RD S 
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    City                 |    WAXHAW
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    State                |    NC
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    Zip                  |    28173
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    Country              |    US
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    Telephone            |    704-774-5064
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3919 PROVIDENCE RD S, STE B PO BOX 241
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    City                 |    WAXHAW
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    State                |    NC
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    Zip                  |    28173-6996
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    Country              |    US
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    Telephone            |    704-774-5064
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST/OWNER
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    Name                 |    DR. ELIZABETH ALLISON LAPENNA 
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    Credential           |    DMD
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    Telephone            |    704-774-5064
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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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