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General NPI Number Information
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NPI Number | 1073656567
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Entity Type | Organization
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Legal Business Name | SUMMIT ORAL SURGERY & IMPLANT CENTER
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 625 HENRY CHAPPLE ST.
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City | BILLINGS
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State | MT
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Zip | 59106-1839
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Country | US
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Telephone | 406-259-7438
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Fax | 406-259-9729
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Provider Business Mailing Address
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Address Line | 625 HENRY CHAPPLE ST
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City | BILLINGS
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State | MT
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Zip | 59106-1839
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Country | US
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Telephone | 406-259-7438
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Fax | 406-259-9729
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODERICK M GRIFFETH
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Credential | D.D.S.
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Telephone | 406-259-7438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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