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General NPI Number Information
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NPI Number | 1467315648
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Entity Type | Organization
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Legal Business Name | NORTH COUNTRY DENTAL CARE
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 436 N COUNTRY RD
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City | SAINT JAMES
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State | NY
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Zip | 11780-1706
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Country | US
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Telephone | 631-584-5605
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Fax | 631-862-1186
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Provider Business Mailing Address
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Address Line | 436 N COUNTRY RD
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City | SAINT JAMES
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State | NY
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Zip | 11780-1706
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Country | US
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Telephone | 631-584-5605
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Fax | 631-862-1186
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Authorized Official
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Title or Position | OWNER AND OPERATOR
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Name | DR. THOMAS VIGLIANTE
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Credential | DDS
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Telephone | 631-767-2682
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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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