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General NPI Number Information
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NPI Number | 1497679062
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Entity Type | Organization
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Legal Business Name | BAKMAN DENTAL GROUP, P.C.
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 821 SUNSET RIDGE RD
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City | NORTHBROOK
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State | IL
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Zip | 60062-4006
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Country | US
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Telephone | 847-272-7874
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Fax | 847-272-9566
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Provider Business Mailing Address
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Address Line | 3119 HUNTINGTON LN
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City | NORTHBROOK
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State | IL
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Zip | 60062-5800
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Country | US
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Telephone | 847-338-4050
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAYYA BAKMAN
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Credential | DDS
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Telephone | 847-338-4050
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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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