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General NPI Number Information
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NPI Number | 1225647514
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Entity Type | Organization
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Legal Business Name | DRS MESH, P.C.
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 15555 SILVER PARKWAY
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City | FENTON
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State | MI
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Zip | 48430
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Country | US
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Telephone | 810-750-1000
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Fax | 810-750-1030
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Provider Business Mailing Address
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Address Line | 15555 SILVER PARKWAY
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City | FENTON
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State | MI
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Zip | 48430
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Country | US
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Telephone | 810-750-1000
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Fax | 810-750-1030
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Authorized Official
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Title or Position | PRES./CEO
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Name | DR. JOE E MESH
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Credential | DMD, CAGS (PROSTHO)
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Telephone | 810-750-1000
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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 |
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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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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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