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General NPI Number Information
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NPI Number | 1386450252
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Entity Type | Organization
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Legal Business Name | NEVADA DENTAL FOUNDATION
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 825 S MAIN ST
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City | TONOPAH
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State | NV
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Zip | 89049-1599
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Country | US
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Telephone | 775-477-3033
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Fax | 775-477-3099
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Provider Business Mailing Address
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Address Line | 1000 N GREEN VALLEY PKWY STE 440-368
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City | HENDERSON
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State | NV
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Zip | 89074-6170
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Country | US
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Telephone | 702-326-9461
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSEPH ARMSTRONG WINEMAN
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Credential | DMD
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Telephone | 702-326-9461
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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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