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General NPI Number Information
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NPI Number | 1053862532
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Entity Type | Organization
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Legal Business Name | ACME DENTAL HEALTH CARE PLLC
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 4480 MOUNT HOPE RD STE A
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City | WILLIAMSBURG
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State | MI
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Zip | 49690-9209
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Country | US
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Telephone | 231-486-6878
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Fax | 231-486-6877
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Provider Business Mailing Address
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Address Line | PO BOX 111
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City | CARO
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State | MI
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Zip | 48723-0111
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Country | US
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Telephone | 810-705-2576
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIS THOMAS SPILLANE
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Credential | DDS
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Telephone | 810-705-2576
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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 | 2901013854
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License Number State | MI
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