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General NPI Number Information
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NPI Number | 1164217295
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Entity Type | Organization
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Legal Business Name | KRISTIN MCNAMARA, DDS, LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 300 MARCONI BLVD STE 308
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City | COLUMBUS
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State | OH
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Zip | 43215-2329
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Country | US
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Telephone | 503-906-7300
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Fax | 503-245-8219
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Provider Business Mailing Address
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Address Line | PO BOX 230457
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City | PORTLAND
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State | OR
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Zip | 97281-0457
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Country | US
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Telephone | 503-906-7300
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. KRISTIN MCNAMARA
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Credential | DDS, MS
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Telephone | 614-723-9505
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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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