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General NPI Number Information
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NPI Number | 1265345391
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Entity Type | Organization
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Legal Business Name | POLISHED DENTAL PLLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 44 MAYVILLE RD
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City | BETHEL
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State | ME
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Zip | 04217-4400
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Country | US
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Telephone | 207-824-1079
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1405
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City | BETHEL
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State | ME
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Zip | 04217-1405
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Country | US
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Telephone | 207-357-2952
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARA SAVAGE
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Credential | IPDH
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Telephone | 207-824-1079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | NULL
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