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General NPI Number Information
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NPI Number | 1306759857
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Entity Type | Organization
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Legal Business Name | ARCHPOINT ORAL SURGERY LLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 1290 E IRELAND RD STE 100U
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City | SOUTH BEND
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State | IN
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Zip | 46614-3500
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Country | US
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Telephone | 310-689-6148
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 E IRELAND RD STE 100U
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City | SOUTH BEND
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State | IN
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Zip | 46614-3500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAN SLAPNICKA
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Credential | DDS
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Telephone | 310-689-6148
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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 |
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