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General NPI Number Information
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NPI Number | 1316731136
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Entity Type | Organization
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Legal Business Name | HOMETOWN FAMILY DENTISTRY PLLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1140 SINCLAIR LEWIS AVE STE 5
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City | SAUK CENTRE
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State | MN
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Zip | 56378-1962
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Country | US
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Telephone | 320-352-2171
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 SINCLAIR LEWIS AVE STE 5
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City | SAUK CENTRE
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State | MN
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Zip | 56378-1962
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Country | US
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Telephone | 320-352-2171
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY STEIL
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Credential | DDS
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Telephone | 320-352-2171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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