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General NPI Number Information
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NPI Number | 1427261668
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Entity Type | Organization
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Legal Business Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 4204 US HIGHWAY 98 N # 100
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City | LAKELAND
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State | FL
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Zip | 33809-3858
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Country | US
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Telephone | 863-859-6662
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Fax | 863-858-6520
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Provider Business Mailing Address
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Address Line | 4204 US HIGHWAY 98 N # 100
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City | LAKELAND
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State | FL
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Zip | 33809-3858
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Country | US
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Telephone | 863-859-6662
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Fax | 863-858-6520
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | HANNAH FISH
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Credential |
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Telephone | 217-540-2100
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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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