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General NPI Number Information
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NPI Number | 1134033723
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Entity Type | Organization
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Legal Business Name | FOR THE LOVE OF TEETH, LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 270 MANCHESTER RD
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City | BELGRADE
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State | ME
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Zip | 04917-3823
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Country | US
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Telephone | 901-538-8591
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Fax |
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Provider Business Mailing Address
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Address Line | 270 MANCHESTER RD
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City | BELGRADE
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State | ME
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Zip | 04917-3823
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Country | US
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Telephone | 901-538-8591
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Fax |
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Authorized Official
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Title or Position | OWNER IPDH
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Name | RONDA AVERY
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Credential | IPDH, RDH
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Telephone | 901-538-8591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State | NULL
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