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General NPI Number Information
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NPI Number | 1336075233
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Entity Type | Organization
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Legal Business Name | DENALI DENTAL PLLC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 590A BANKVIEW DR.
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City | FRANKFORT
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State | IL
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Zip | 60423
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Country | US
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Telephone | 708-301-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 590 BANKVIEW DR STE A
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City | FRANKFORT
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State | IL
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Zip | 60423-1858
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Country | US
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Telephone | 708-301-9401
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Fax | 708-301-8515
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. EDWARD J KIRSCH
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Credential | DDS
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Telephone | 708-301-9401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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