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General NPI Number Information
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NPI Number | 1487821666
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Entity Type | Organization
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Legal Business Name | DENTISTRY TOMORROW, PSC
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 1606 US HIGHWAY 27 N
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City | CYNTHIANA
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State | KY
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Zip | 41031-3718
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Country | US
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Telephone | 859-234-4323
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Fax | 859-234-4303
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Provider Business Mailing Address
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Address Line | 1606 US HIGHWAY 27 N PO BOX 550
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City | CYNTHIANA
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State | KY
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Zip | 41031-3718
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Country | US
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Telephone | 859-234-4323
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Fax | 859-234-4303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN CLAY STEPHENS
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Credential | DMD
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Telephone | 859-234-4323
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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 | 6780
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License Number State | KY
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