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General NPI Number Information
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NPI Number | 1316864002
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Entity Type | Organization
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Legal Business Name | SPRING DENTAL PC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 500 CONGRESS ST STE 2E
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City | QUINCY
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State | MA
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Zip | 02169-0960
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Country | US
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Telephone | 617-984-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 500 CONGRESS ST STE 2E
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City | QUINCY
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State | MA
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Zip | 02169-0960
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Country | US
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Telephone | 617-984-0044
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GURSIMRAN KAUR SIDHU
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Credential | DMD
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Telephone | 617-306-7303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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