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General NPI Number Information
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NPI Number | 1033675400
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Entity Type | Organization
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Legal Business Name | HIGHBURY DENTAL MANAGEMENT, LLC
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 40930 N IRONWOOD DR STE 113
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City | QUEEN CREEK
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State | AZ
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Zip | 85140-8829
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Country | US
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Telephone | 480-999-9091
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Fax | 480-718-7341
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Provider Business Mailing Address
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Address Line | 1740 CREEKSIDE OAKS DR STE 130
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City | SACRAMENTO
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State | CA
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Zip | 95833-3655
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Country | US
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Telephone | 916-877-7450
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Fax | 844-534-8464
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Authorized Official
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Title or Position | ACCESS MANAGER
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Name | KUSHBOO KUMAR
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Credential |
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Telephone | 916-877-7450
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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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