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General NPI Number Information
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NPI Number | 1295649713
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Entity Type | Organization
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Legal Business Name | SURGICAL ARTS & IMPLANT SOLUTIONS LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 5335 FAR HILLS AVE STE 118
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City | DAYTON
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State | OH
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Zip | 45429-2317
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Country | US
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Telephone | 937-439-5912
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Fax | 937-439-3665
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Provider Business Mailing Address
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Address Line | 5335 FAR HILLS AVE STE 118
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City | DAYTON
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State | OH
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Zip | 45429-2317
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Country | US
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Telephone | 937-439-5912
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Fax | 937-439-3665
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Authorized Official
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Title or Position | ORAL AND MAXILLOFACIAL SURGEON
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Name | ARMANDO URIBE RIVERA
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Credential | DDS, MS
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Telephone | 937-439-5912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State | NULL
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