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General NPI Number Information
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NPI Number | 1457277170
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Entity Type | Organization
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Legal Business Name | POINT PLACE DENTAL 2, LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 5541 US HIGHWAY 10 E
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City | STEVENS POINT
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State | WI
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Zip | 54482-8306
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Country | US
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Telephone | 534-535-0053
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Fax |
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Provider Business Mailing Address
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Address Line | 5541 US HIGHWAY 10 E
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City | STEVENS POINT
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State | WI
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Zip | 54482-8306
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Country | US
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Telephone | 534-535-0053
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVE SORREL
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Credential |
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Telephone | 608-817-3255
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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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