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General NPI Number Information
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NPI Number | 1497524672
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Entity Type | Organization
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Legal Business Name | COLLINS DENTAL ORTHO INC
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 38 PEOPLES PLZ
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City | NEWARK
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State | DE
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Zip | 19702-4727
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Country | US
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Telephone | 302-834-4000
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Fax | 302-834-1417
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Provider Business Mailing Address
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Address Line | 38 PEOPLES PLZ
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City | NEWARK
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State | DE
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Zip | 19702-4727
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Country | US
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Telephone | 302-834-4000
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Fax | 302-834-1417
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. LYNN MARIE COLLINS
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Credential | DDS
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Telephone | 302-834-4275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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