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General NPI Number Information
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NPI Number | 1053103481
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Entity Type | Organization
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Legal Business Name | USN DENTAL SPECIALISTS, LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 804 W STEPHENSON ST
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City | FREEPORT
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State | IL
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Zip | 61032-4941
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Country | US
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Telephone | 815-235-7476
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Fax |
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Provider Business Mailing Address
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Address Line | 804 W STEPHENSON ST
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City | FREEPORT
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State | IL
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Zip | 61032-4941
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Country | US
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Telephone | 815-235-7476
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Fax |
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. DANIEL VICTOR WRIGHT
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Credential | DMD
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Telephone | 630-272-7776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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