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General NPI Number Information
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NPI Number | 1215727888
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Entity Type | Organization
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Legal Business Name | MATTHEW COLLINS DMD LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1717 CENTENNIAL BLVD STE 3
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City | SPRINGFIELD
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State | OR
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Zip | 97477-3378
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Country | US
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Telephone | 541-746-9552
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Fax |
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Provider Business Mailing Address
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Address Line | 1658 CRESCENT AVE
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City | EUGENE
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State | OR
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Zip | 97408-7116
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Country | US
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Telephone | 805-415-0345
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MATTHEW COLLINS
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Credential | DMD
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Telephone | 805-415-0345
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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 |
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License Number State |
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