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General NPI Number Information
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NPI Number | 1184756785
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Entity Type | Organization
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Legal Business Name | DENNIS P QUINLAN DDS SC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 420 E LONGVIEW DR SUITE C
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City | APPLETON
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State | WI
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Zip | 54911
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Country | US
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Telephone | 920-731-5082
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Fax | 920-731-0282
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Provider Business Mailing Address
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Address Line | 420 E LONGVIEW DR SUITE C
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City | APPLETON
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State | WI
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Zip | 54911
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Country | US
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Telephone | 920-731-5082
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Fax | 920-731-0282
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DENNIS P QUINLAN
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Credential | DDS
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Telephone | 920-731-5082
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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 | 2385
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License Number State | WI
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