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General NPI Number Information
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NPI Number | 1225462716
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Entity Type | Organization
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Legal Business Name | TADRISSI DDS, PLLC
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 443 HARRISON AVENUE
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City | FRANKLIN
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State | NC
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Zip | 28734
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Country | US
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Telephone | 828-627-1999
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Fax | 828-627-1998
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Provider Business Mailing Address
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Address Line | 59 HAYWOOD PARK DR
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City | CLYDE
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State | NC
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Zip | 28721-4404
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Country | US
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Telephone | 828-627-1999
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Fax | 828-627-1998
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Authorized Official
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Title or Position | ENDODONTIST
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Name | DR. JORDAN JOHNSON
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Credential | DDS, MS
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Telephone | 828-627-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 7621
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License Number State | NC
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