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General NPI Number Information
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NPI Number | 1386342905
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Entity Type | Organization
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Legal Business Name | LONGPOINT DENTAL LLC
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Dates
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Enumeration Date | 02/22/2023
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 5000 LONGPOINT WAY SUITE 520
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City | FRANKLIN
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State | TN
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Zip | 37064
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Country | US
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Telephone | 615-866-0260
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Fax |
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Provider Business Mailing Address
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Address Line | 5507 BROKEN RIDGE HOLLOW LN
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City | THOMPSONS STATION
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State | TN
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Zip | 37179-6307
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Country | US
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Telephone | 502-410-8180
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Fax |
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Authorized Official
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Title or Position | DENTIST/ OWNER
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Name | DR. ANNE MARIE ELLIS
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Credential | DMD
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Telephone | 615-866-0260
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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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