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General NPI Number Information
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NPI Number | 1346201498
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Entity Type | Organization
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Legal Business Name | US DENTAL CARE INC
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 949 E LIVINGSTON AVE
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City | COLUMBUS
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State | OH
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Zip | 43205
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Country | US
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Telephone | 614-252-3181
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Fax | 614-252-1549
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Provider Business Mailing Address
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Address Line | 949 E LIVINGSTON AVE
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City | COLUMBUS
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State | OH
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Zip | 43205
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Country | US
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Telephone | 614-252-3181
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Fax | 614-252-1549
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTIN D GECENDER
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Credential | DDS
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Telephone | 614-252-3181
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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 | 16694
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License Number State | OH
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