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General NPI Number Information
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NPI Number | 1306906367
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Entity Type | Organization
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Legal Business Name | LEXINGTON DENTAL ASSOCIATES PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 49 LEXINGTON STREET
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1416
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Country | US
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Telephone | 860-229-9928
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Fax | 860-229-8295
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Provider Business Mailing Address
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Address Line | 49 LEXINGTON STREET
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1416
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Country | US
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Telephone | 860-229-9928
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Fax | 860-229-8295
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. BRUCE T FLETCHER
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Credential | DMD MAGD
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Telephone | 860-229-9928
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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 |
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License Number State |
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