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General NPI Number Information
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NPI Number | 1124942545
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Entity Type | Organization
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Legal Business Name | SOLOMON DENTAL SEDATIONS LLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 497 W BUTTERNUT RD STE 201
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City | SUMMERVILLE
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State | SC
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Zip | 29483-5585
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Country | US
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Telephone | 843-871-0842
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Fax |
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Provider Business Mailing Address
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Address Line | 1971 N MAIN ST STE 201
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7890
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Country | US
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Telephone | 843-871-0842
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | ANGIE BAZZLE
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Credential |
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Telephone | 843-871-0842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number |
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License Number State |
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