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General NPI Number Information
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NPI Number | 1164186003
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Entity Type | Organization
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Legal Business Name | URGENT DENTAL CARE PLLC
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 207 E EMORY RD STE 203
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City | POWELL
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State | TN
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Zip | 37849-4048
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Country | US
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Telephone | 865-273-0186
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Fax | 423-428-9270
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Provider Business Mailing Address
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Address Line | 225 MAIN ST STE 400
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City | DAYTON
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State | TN
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Zip | 37321-1329
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Country | US
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Telephone | 423-428-9234
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Fax |
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Authorized Official
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Title or Position | AR MANAGER
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Name | MRS. MARCY KAY
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Credential |
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Telephone | 423-762-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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