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General NPI Number Information
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NPI Number | 1326274051
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Entity Type | Organization
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Legal Business Name | TOOTH PROTECTORS INC
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 21 WESTMINSTER ST
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City | LEWISTON
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State | ME
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Zip | 04240-3531
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Country | US
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Telephone | 207-513-1111
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Fax | 207-513-1197
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Provider Business Mailing Address
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Address Line | 21 WESTMINSTER ST
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City | LEWISTON
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State | ME
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Zip | 04240-3531
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Country | US
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Telephone | 207-513-1111
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Fax | 207-513-1197
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Authorized Official
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Title or Position | PRACTICE ADMIN
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Name | MRS. AMANDA RAY
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Credential |
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Telephone | 207-513-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State | ME
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