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General NPI Number Information
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NPI Number | 1083537302
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Entity Type | Organization
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Legal Business Name | INNOVATIVE DENTAL OF CARLISLE; CUMBERLAND VALLEY DENTAL CARE-CARLISLE
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 559 S HANOVER ST
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City | CARLISLE
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State | PA
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Zip | 17013-3919
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Country | US
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Telephone | 717-245-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 559 S HANOVER ST
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City | CARLISLE
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State | PA
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Zip | 17013-3919
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Country | US
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Telephone | 717-245-0808
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHLEEN L PEIFFER
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Credential |
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Telephone | 717-263-3123
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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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