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General NPI Number Information
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NPI Number | 1346071594
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Entity Type | Organization
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Legal Business Name | DANN J. GLADNICK, D.M.D., P.A.
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 1104 N BROOM ST
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City | WILMINGTON
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State | DE
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Zip | 19806-4315
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Country | US
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Telephone | 302-654-7243
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Fax | 302-654-9907
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Provider Business Mailing Address
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Address Line | 1104 N BROOM ST
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City | WILMINGTON
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State | DE
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Zip | 19806-4315
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Country | US
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Telephone | 302-654-7243
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Fax | 302-654-9907
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Authorized Official
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Title or Position | DENTIST
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Name | DANN J. GLADNICK
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Credential | DMD
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Telephone | 302-654-7243
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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 |
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License Number State |
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