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General NPI Number Information
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NPI Number | 1063308369
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Entity Type | Organization
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Legal Business Name | OAK ROAD DENTISTRY LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2176 OAK RD STE A
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City | SNELLVILLE
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State | GA
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Zip | 30078-2374
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Country | US
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Telephone | 770-985-9559
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Fax | 770-972-0847
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Provider Business Mailing Address
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Address Line | 2176 OAK RD STE A
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City | SNELLVILLE
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State | GA
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Zip | 30078-2374
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Country | US
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Telephone | 770-985-9559
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Fax | 770-972-0847
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK FRENCH
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Credential |
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Telephone | 404-808-9265
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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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