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General NPI Number Information
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NPI Number | 1457788739
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Entity Type | Organization
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Legal Business Name | DAVID TEMPLETON DDS, PC
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 106 WATER ST
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City | WISE
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State | VA
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Zip | 24293-7621
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Country | US
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Telephone | 276-328-5291
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Fax | 276-328-2539
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Provider Business Mailing Address
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Address Line | PO BOX 30
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City | WISE
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State | VA
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Zip | 24293-0030
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Country | US
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Telephone | 276-328-5291
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Fax | 276-328-2539
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. DAVID E TEMPLETON
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Credential | DDS
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Telephone | 423-967-1177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401005438
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License Number State | VA
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