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General NPI Number Information
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NPI Number | 1205719663
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Entity Type | Organization
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Legal Business Name | TC DENTAL PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 625 N CHARLOTTE ST
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City | POTTSTOWN
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State | PA
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Zip | 19464-4645
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Country | US
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Telephone | 484-343-6075
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Fax |
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Provider Business Mailing Address
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Address Line | 404 FARNSWORTH DR
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City | BROOMALL
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State | PA
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Zip | 19008-4140
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Country | US
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Telephone | 484-343-6075
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. TOMMY CAO
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Credential | DMD
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Telephone | 484-343-6075
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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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