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General NPI Number Information
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NPI Number | 1144890575
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Entity Type | Individual
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Provider Name | JESSICA DINH DMD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1724 STATE RD UNIT 4D
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City | SUMMERVILLE
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State | SC
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Zip | 29486-2842
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Country | US
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Telephone | 843-376-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 244 WITCH HAZEL ST
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City | SUMMERVILLE
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State | SC
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Zip | 29486-6979
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Country | US
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Telephone | 864-430-9506
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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 | 9925
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 111089
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License Number State | CA
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