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1427383991 NPI number — TONI MARIE NORMAN DMD, MS

NPI Number: 1427383991
Health Care Provider/Practitioner: TONI MARIE NORMAN DMD, MS

Information about “1427383991” NPI (TONI MARIE NORMAN DMD, MS) exists in 1427383991 in HTML format HTML  |  1427383991 in plain Text format TXT  |  1427383991 in PDF (Portable Document Format) PDF  |  1427383991 in an XML format XML  formats.

NPI Number : 1427383991 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427383991",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NORMAN",
    "FirstName": "TONI",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD, MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YOUNG",
    "OtherFirstName": "TONI",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DMD, MS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "619 SE MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIMPSONVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29681-3234",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-967-9700",
    "MailingAddressFaxNumber": "864-761-4623",
    "FirstLinePracticeLocationAddress": "1108 N COURT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARION",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62959-1612",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-993-2872",
    "PracticeLocationAddressFaxNumber": "618-997-7787",
    "EnumerationDate": "10/16/2009",
    "LastUpdateDate": "04/01/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "019021260",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "021001547",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "DDS09719",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "9685",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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