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General NPI Number Information
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NPI Number | 1295032944
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Entity Type | Organization
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Legal Business Name | LEMBO MONTGOMERY DDS PA
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 02/15/2011
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Provider Practice Location Address
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Address Line | 438 WILLIAMSON RD STE D
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City | MOORESVILLE
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State | NC
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Zip | 28117-9224
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Country | US
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Telephone | 704-660-1120
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Fax | 704-660-1090
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Provider Business Mailing Address
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Address Line | 438 WILLIAMSON RD STE D
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City | MOORESVILLE
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State | NC
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Zip | 28117-9224
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Country | US
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Telephone | 704-660-1120
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Fax | 704-660-1090
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | LINDSAY SCHERER MONTGOMERY
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Credential | DDS
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Telephone | 704-660-1120
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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 | 8701
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8729
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License Number State | NC
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