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General NPI Number Information
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NPI Number | 1063036721
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Entity Type | Individual
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Provider Name | CHASE RYAN CULBERTSON DDS
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Gender | Male
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 8051 WASHINGTON VILLAGE DR UNIT B
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City | DAYTON
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State | OH
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Zip | 45458-1885
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Country | US
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Telephone | 937-977-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 7308 HILLGROVE CIR
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City | FAIRBORN
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State | OH
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Zip | 45324-7595
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Country | US
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Telephone | 937-244-6471
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 30.026154
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License Number State | OH
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