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General NPI Number Information
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NPI Number | 1447120183
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Entity Type | Organization
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Legal Business Name | GUILFORD DENTAL PLLC
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 800 BOSTON POST RD STE 204
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City | GUILFORD
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State | CT
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Zip | 06437-2770
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Country | US
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Telephone | 203-245-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 800 BOSTON POST RD STE 204
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City | GUILFORD
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State | CT
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Zip | 06437-2770
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Country | US
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Telephone | 203-245-7575
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Fax | 203-624-7882
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Authorized Official
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Title or Position | OWNER
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Name | JOHN PAVLAKIS
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Credential | DDS
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Telephone | 203-245-7575
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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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