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General NPI Number Information
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NPI Number | 1336932490
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Entity Type | Individual
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Provider Name | DAKOTA MAKATCHE DMD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 201 S 5TH ST
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City | BARDSTOWN
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State | KY
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Zip | 40004-1142
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Country | US
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Telephone | 502-348-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 301 AXIS DR APT 201
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City | LOUISVILLE
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State | KY
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Zip | 40206-0127
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Country | US
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Telephone | 615-403-3108
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 11328
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11328
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License Number State | KY
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