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General NPI Number Information
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NPI Number | 1295526002
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Entity Type | Organization
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Legal Business Name | MAI DENTAL, LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 9975 SW NIMBUS AVE
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City | BEAVERTON
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State | OR
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Zip | 97008-7150
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Country | US
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Telephone | 714-204-8508
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Fax |
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Provider Business Mailing Address
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Address Line | 9975 SW NIMBUS AVE
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City | BEAVERTON
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State | OR
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Zip | 97008-7150
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Country | US
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Telephone | 971-246-7300
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST (OWNER)
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Name | DR. CHLOE ADAMS
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Credential | DMD
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Telephone | 714-204-8508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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