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NPI 1164616538

NPI 1164616538 : ALAN M. PADGETT, DDS : RICHMOND, VA

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General NPI Number Information
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    NPI Number           |    1164616538
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALAN M. PADGETT, DDS 
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Dates
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    Enumeration Date     |    08/29/2007
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    Last Update Date     |    08/29/2007
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Provider Practice Location Address
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    Address Line         |    9015 FOREST HILL AVE 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23235-3050
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    Country              |    US
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    Telephone            |    804-320-6997
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    Fax                  |    804-272-7221
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Provider Business Mailing Address
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    Address Line         |    9015 FOREST HILL AVE 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23235-3050
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    Country              |    US
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    Telephone            |    804-320-6997
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    Fax                  |    804-272-7221
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. ALAN M PADGETT 
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    Credential           |    DDS
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    Telephone            |    804-320-6997
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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       |    3874
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    License Number State |    VA
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