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General NPI Number Information
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NPI Number | 1255501979
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Entity Type | Organization
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Legal Business Name | JOHN E. TOZER, DMD, PA
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 743 BROADWAY
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City | BANGOR
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State | ME
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Zip | 04401-3225
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Country | US
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Telephone | 207-945-5300
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Fax | 207-942-3465
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Provider Business Mailing Address
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Address Line | 743 BROADWAY
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City | BANGOR
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State | ME
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Zip | 04401-3225
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Country | US
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Telephone | 207-945-5300
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Fax | 207-942-3465
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN E. TOZER
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Credential | DMD
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Telephone | 207-945-5300
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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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