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General NPI Number Information
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NPI Number | 1184727133
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Entity Type | Organization
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Legal Business Name | DENNIS G. PIONTEK D.M.D.,PSC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 455SOUTH 4TH ST SUITE 950-C STARKS BLDG
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City | LOUISVILLE
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State | KY
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Zip | 40202-2511
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Country | US
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Telephone | 502-587-6131
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Fax | 502-587-9964
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Provider Business Mailing Address
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Address Line | SUITE 950-C STARKS BLDG 455 SOUTH.4TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-2511
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Country | US
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Telephone | 502-587-6131
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Fax | 502-587-9964
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS G. PIONTEK
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Credential | D.M.D.
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Telephone | 502-587-6131
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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 | 4395
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License Number State | KY
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