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General NPI Number Information
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NPI Number | 1508136755
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Entity Type | Organization
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Legal Business Name | SANDSTONE FAMILY DENTISTRY, P.C.
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 150 ELM ST
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City | POTSDAM
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State | NY
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Zip | 13676-3300
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Country | US
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Telephone | 315-265-5344
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Fax | 315-261-4799
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Provider Business Mailing Address
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Address Line | 150 ELM ST
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City | POTSDAM
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State | NY
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Zip | 13676-3300
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Country | US
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Telephone | 315-265-5344
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Fax | 315-261-4799
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Authorized Official
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Title or Position | OWNER
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Name | DR. STACEY M HOWLETT
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Credential | DDS
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Telephone | 315-265-5344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 047783-1
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License Number State | NY
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