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General NPI Number Information
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NPI Number | 1326128208
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Entity Type | Organization
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Legal Business Name | THE DENTAL OFFICES OF JARON WEDDING D.D.S., M.S.D., AND RICHARD ORRICK
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 522 N NEW BALLAS RD STE 382
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City | CREVE COEUR
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State | MO
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Zip | 63141-6819
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Country | US
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Telephone | 314-994-3737
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Fax | 314-994-3757
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Provider Business Mailing Address
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Address Line | 522 N NEW BALLAS RD STE 382
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City | CREVE COEUR
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State | MO
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Zip | 63141-6819
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Country | US
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Telephone | 314-994-3737
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Fax | 314-994-3757
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RICHARD THOMAS ORRICK
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Credential | D.M.D., M.S.D.
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Telephone | 317-994-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 2003016228
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 2005019635
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License Number State | MO
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