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General NPI Number Information
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NPI Number | 1275914632
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Entity Type | Organization
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Legal Business Name | DR ORTHODONTICS PC
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 405 CHURCH ST. ST 2
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City | GUILFORD
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State | CT
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Zip | 06437-2003
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Country | US
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Telephone | 203-288-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 405 CHURCH ST. ST 2
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City | GUILFORD
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State | CT
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Zip | 06437-2003
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Country | US
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Telephone | 203-288-0900
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Fax |
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. THOMAS G DOBIE
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Credential | DDS,MDS, MS
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Telephone | 504-813-2427
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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 | 007219
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License Number State | CT
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