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General NPI Number Information
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NPI Number | 1073381745
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Entity Type | Organization
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Legal Business Name | ROSS T. BIGGERSTAFF, D.D.S., LLC
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 3105 E 98TH ST STE 130
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City | CARMEL
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State | IN
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Zip | 46280-2006
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Country | US
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Telephone | 317-569-9977
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Fax |
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Provider Business Mailing Address
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Address Line | 3105 E 98TH ST STE 130
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City | CARMEL
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State | IN
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Zip | 46280-2006
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Country | US
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Telephone |
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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 | ROSS BIGGERSTAFF
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Credential | DDS, MSD
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Telephone | 317-507-0459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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