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General NPI Number Information
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NPI Number | 1437384864
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Entity Type | Organization
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Legal Business Name | MICHAEL D WEBB DDS PC
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Dates
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Enumeration Date | 05/29/2009
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Last Update Date | 05/29/2009
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Provider Practice Location Address
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Address Line | 10145 MIDLOTHIAN TURNPIKE
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City | RICHMOND
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State | VA
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Zip | 23235
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Country | US
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Telephone | 804-839-3064
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Fax |
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Provider Business Mailing Address
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Address Line | 8930 HOLLOW OAK DR
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-6871
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Country | US
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Telephone | 804-839-3064
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL D WEBB
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Credential | DDS
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Telephone | 804-539-3794
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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 | 0401412000
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License Number State | VA
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