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General NPI Number Information
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NPI Number | 1073354627
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Entity Type | Organization
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Legal Business Name | AMM DENTISTRY PLLC
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 214 E MAIN ST STE 1
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City | BATAVIA
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State | NY
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Zip | 14020-2232
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Country | US
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Telephone | 585-343-8675
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Fax |
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Provider Business Mailing Address
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Address Line | 214 E MAIN ST STE 1
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City | BATAVIA
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State | NY
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Zip | 14020-2232
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Country | US
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Telephone | 585-343-8675
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ASHLEY MARIE MOONEY
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Credential | DDS
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Telephone | 585-490-2693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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