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General NPI Number Information
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NPI Number | 1215808589
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Entity Type | Organization
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Legal Business Name | MIDDLETOWN DENTAL EXCELLENCE LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1315 S BREIEL BLVD
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City | MIDDLETOWN
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State | OH
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Zip | 45044-6888
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Country | US
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Telephone | 513-515-5256
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Fax |
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Provider Business Mailing Address
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Address Line | 4983 OLD IRWIN SIMPSON RD
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City | MASON
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State | OH
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Zip | 45040-9751
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Country | US
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Telephone | 513-515-5256
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SYED HAIDER HASSAN SR.
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Credential | DDS
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Telephone | 513-515-5256
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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 |
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License Number State |
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Taxonomy #2
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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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