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General NPI Number Information
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NPI Number | 1104138684
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Entity Type | Individual
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Provider Name | SAMANTHA BRENNER JONES D.D.S., M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 680 ALAMO PINTADO RD SUITE #105
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City | SOLVANG
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State | CA
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Zip | 93463-2204
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Country | US
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Telephone | 805-697-7412
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Fax | 805-691-9206
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Provider Business Mailing Address
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Address Line | 470 MOUNTAIN DR
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City | SANTA BARBARA
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State | CA
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Zip | 93103-1735
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Country | US
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Telephone | 203-520-1339
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 58552
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 58552
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License Number State | CA
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