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General NPI Number Information
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NPI Number | 1043313364
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Entity Type | Organization
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Legal Business Name | THE DENTAL OFFICES OF DR MARCUS S TAPPAN & ASSOCIATES PC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8611 SECOND AVE SUITE 101
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City | SILVER SPRING
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State | MD
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Zip | 20910-6377
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Country | US
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Telephone | 301-565-8212
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Fax | 301-565-9458
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Provider Business Mailing Address
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Address Line | 8611 SECOND AVE SUITE 101
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City | SILVER SPRING
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State | MD
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Zip | 20910-6377
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Country | US
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Telephone | 301-565-8212
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Fax | 301-565-9458
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. MARCUS S TAPPAN
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Credential | DDS
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Telephone | 301-565-8212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10168
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License Number State | MD
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