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General NPI Number Information
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NPI Number | 1346134384
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Entity Type | Organization
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Legal Business Name | FLOSSEN FAMILY DENTAL PA
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 643 CAPE CORAL PKWY E STE 101A
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City | CAPE CORAL
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State | FL
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Zip | 33904-8549
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Country | US
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Telephone | 402-708-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 13747 MAGNOLIA LAKE CT
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City | FORT MYERS
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State | FL
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Zip | 33907-1853
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Country | US
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Telephone | 402-708-5454
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRYCE THOMAS BYMAN
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Credential | DDS
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Telephone | 402-708-5454
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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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