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General NPI Number Information
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NPI Number | 1356108682
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Entity Type | Organization
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Legal Business Name | BELMONT FAMILY DENTISTRY, PLLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 24 CORPORATE DR
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City | BELMONT
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State | NH
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Zip | 03220-3103
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Country | US
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Telephone | 603-512-4773
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Fax |
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Provider Business Mailing Address
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Address Line | 392 LOVEJOY RD
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City | LOUDON
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State | NH
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Zip | 03307-1010
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Country | US
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Telephone | 603-512-4773
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. MICHAEL JOSEPH NEVEU
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Credential | DMD
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Telephone | 603-512-4773
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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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