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General NPI Number Information
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NPI Number | 1487152799
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Entity Type | Organization
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Legal Business Name | COMFORT DENTAL INC- HAMIDREZA MADANI DMD
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 6408 THORNBERRY CT STE 120
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City | MASON
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State | OH
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Zip | 45040-7841
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Country | US
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Telephone | 513-398-8777
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Fax |
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Provider Business Mailing Address
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Address Line | 6408 THORNBERRY CT STE 120
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City | MASON
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State | OH
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Zip | 45040-7841
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Country | US
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Telephone | 513-398-8777
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Fax |
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Authorized Official
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Title or Position | RECEPTIONIST
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Name | TAMMY WASSON
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Credential |
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Telephone | 513-398-8777
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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 | 20317
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 20317
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License Number State | OH
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