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General NPI Number Information
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NPI Number | 1053267682
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Entity Type | Organization
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Legal Business Name | PAYSON DENTAL CARE PC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 315 E STATE HIGHWAY 260
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City | PAYSON
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State | AZ
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Zip | 85541-4930
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Country | US
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Telephone | 928-474-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 315 E STATE HIGHWAY 260
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City | PAYSON
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State | AZ
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Zip | 85541-4930
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Country | US
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Telephone | 928-474-2200
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. PATRICE STAPLES WINTERHOLLER
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Credential | DDS, FAGD
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Telephone | 928-474-2200
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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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