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General NPI Number Information
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NPI Number | 1164341475
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Entity Type | Organization
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Legal Business Name | GILL DENTAL HOLDINGS
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Dates
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Enumeration Date | 07/11/2026
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Last Update Date | 07/11/2026
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Provider Practice Location Address
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Address Line | 33 W 7TH ST
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City | PERU
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State | IN
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Zip | 46970-2130
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Country | US
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Telephone | 765-473-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 1455 STONEHAVEN DR
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City | WESTFIELD
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State | IN
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Zip | 46074-1201
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | PARKER GILL
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Credential | DDS
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Telephone | 812-483-8568
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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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