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General NPI Number Information
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NPI Number | 1205797941
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Entity Type | Organization
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Legal Business Name | THREE OAKS DENTAL LLC
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 990 WINDERMERE RD STE 101
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City | WINTER GARDEN
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State | FL
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Zip | 34787-6167
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Country | US
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Telephone | 689-407-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 229 WHEELHOUSE LN STE 1241
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City | LAKE MARY
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State | FL
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Zip | 32746-3665
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Country | US
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Telephone | 954-701-0871
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. NIMISH MANIAR
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Credential | DMD
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Telephone | 954-701-0871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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