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NPI 1154108322

NPI 1154108322 : OYSTER POINT DENTISTRY PLLC : NEWPORT NEWS, VA

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General NPI Number Information
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    NPI Number           |    1154108322
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    Entity Type          |    Organization 
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    Legal Business Name  |    OYSTER POINT DENTISTRY PLLC 
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Dates
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    Enumeration Date     |    09/12/2023
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    Last Update Date     |    09/12/2023
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Provider Practice Location Address
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    Address Line         |    11848 ROCK LANDING DR STE 301 
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23606-4425
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    Country              |    US
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    Telephone            |    757-596-6216
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11848 ROCK LANDING DR STE 301 
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23606-4425
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    Country              |    US
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    Telephone            |    757-596-6216
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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. ZACHARY T DUMAN 
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    Credential           |    DDS
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    Telephone            |    757-784-0488
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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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