NPI Number: 1326128208
Health Care Provider/Practitioner: THE DENTAL OFFICES OF JARON WEDDING D.D.S., M.S.D., AND RICHARD ORRICK
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1326128208
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N
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THE DENTAL OFFICES OF JARON WEDDING D.D.S., M.S.D., AND RICHARD ORRICK
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6
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522 N NEW BALLAS RD STE 382
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CREVE COEUR
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MO
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63141-6819
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US
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314-994-3737
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314-994-3757
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522 N NEW BALLAS RD STE 382
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<PracticeLocationAddressCityName>
CREVE COEUR
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MO
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63141-6819
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US
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314-994-3737
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314-994-3757
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<EnumerationDate>
10/16/2006
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08/22/2020
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<NPIDeactivationReasonCode/>
<NPIDeactivationReason/>
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<NPIReactivationDate/>
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ORRICK
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RICHARD
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THOMAS
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MANAGER
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DR.
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D.M.D., M.S.D.
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317-994-3737
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<Taxonomy>
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1223E0200X
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Endodontics
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2003016228
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MO
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<PrimaryTaxonomySwitch>
N
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<TaxonomyCode>
1223E0200X
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<TaxonomyName>
Endodontics
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<LicenseNumber>
2005019635
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MO
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<PrimaryTaxonomySwitch>
Y
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<HealthcareProviderTaxonomyGroupName>
193400000X MULTIPLE SINGLE SPECIALTY GROUP
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Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization.
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<HealthcareProviderTaxonomyGroupName>
193400000X MULTIPLE SINGLE SPECIALTY GROUP
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Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization.
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