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General NPI Number Information
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NPI Number | 1508689324
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Entity Type | Organization
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Legal Business Name | PRESTO DENTAL PLLC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 127 GREYROCK PLACE
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City | STAMFORD
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State | CT
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Zip | 06901
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Country | US
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Telephone | 203-323-5439
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Fax | 203-323-4445
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Provider Business Mailing Address
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Address Line | 127 GREYROCK PL UNIT C-2
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City | STAMFORD
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State | CT
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Zip | 06901-3100
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Country | US
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Telephone | 203-343-5439
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | DANIELLE DWYER
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Credential |
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Telephone | 973-578-8788
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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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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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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 | 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 #4
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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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