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General NPI Number Information
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NPI Number | 1346126331
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Entity Type | Organization
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Legal Business Name | VALLEY DENTAL URGENT CARE PLLC
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 4170 LENNON RD STE B
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City | FLINT
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State | MI
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Zip | 48507-1083
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Country | US
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Telephone | 810-720-6433
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Fax |
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Provider Business Mailing Address
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Address Line | 4170 LENNON RD STE B
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City | FLINT
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State | MI
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Zip | 48507-1083
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | STEPHANIE ROSS
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Credential |
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Telephone | 810-730-4606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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