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General NPI Number Information
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NPI Number | 1346992187
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Entity Type | Organization
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Legal Business Name | SILVER FAMILY DENTAL, LLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 5010 MAYFIELD RD STE 101
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City | LYNDHURST
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State | OH
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Zip | 44124-2611
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Country | US
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Telephone | 216-382-5007
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Fax |
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Provider Business Mailing Address
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Address Line | 4812 STATE ROUTE 82
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City | MANTUA
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State | OH
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Zip | 44255-9284
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Country | US
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Telephone | 330-357-8345
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS ADMINISTRATION
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Name | THERESA M ROBERTS
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Credential |
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Telephone | 330-357-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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