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General NPI Number Information
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NPI Number | 1093521379
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Entity Type | Organization
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Legal Business Name | DUTTON DENTAL, LLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 106 BOWDOCK DR
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City | MADISON
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State | AL
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Zip | 35756-3995
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Country | US
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Telephone | 256-325-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 115 RAINBOW DR
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City | MADISON
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State | AL
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Zip | 35758-8224
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Country | US
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Telephone | 803-246-5344
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ETHAN CLAY DUTTON
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Credential | DMD
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Telephone | 803-246-5344
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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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