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General NPI Number Information
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NPI Number | 1063553899
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Entity Type | Organization
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Legal Business Name | SALISBURY DENTAL CENTER
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 226 W MAIN ST
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City | SALISBURY
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State | MD
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Zip | 21801-4907
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Country | US
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Telephone | 410-749-7873
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Fax | 410-546-3299
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Provider Business Mailing Address
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Address Line | 226 W MAIN ST
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City | SALISBURY
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State | MD
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Zip | 21801-4907
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Country | US
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Telephone | 410-749-7873
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Fax | 410-546-3299
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Authorized Official
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Title or Position | DENTIST
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Name | JAMES M. NANCE
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Credential | DDS
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Telephone | 410-749-7873
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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 | 6385
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11252
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License Number State | MD
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