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General NPI Number Information
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NPI Number | 1265482046
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Entity Type | Organization
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Legal Business Name | TODAY'S DENTAL CARE
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2006 MALL ST BLDG. 1
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City | COLLINSVILLE
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State | IL
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Zip | 62234-1831
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Country | US
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Telephone | 618-345-8333
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Fax | 618-345-9772
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Provider Business Mailing Address
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Address Line | 2006 MALL ST BLDG. 1
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City | COLLINSVILLE
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State | IL
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Zip | 62234-1831
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Country | US
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Telephone | 618-345-8333
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Fax | 618-345-9772
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD W DILLOW
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Credential | D.M.D.
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Telephone | 618-345-8333
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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 | IL
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