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General NPI Number Information
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NPI Number | 1245937135
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Entity Type | Organization
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Legal Business Name | FEEL GOOD DENTAL LLC
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 400 VESTAVIA PKWY STE 120
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City | VESTAVIA
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State | AL
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Zip | 35216-3750
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Country | US
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Telephone | 205-225-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 400 VESTAVIA PKWY STE 120
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City | VESTAVIA
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State | AL
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Zip | 35216-3750
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Country | US
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Telephone | 205-225-9878
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARC CHRISTOPHER VANCE
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Credential |
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Telephone | 205-225-9878
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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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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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