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General NPI Number Information
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NPI Number | 1508775941
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Entity Type | Organization
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Legal Business Name | BUCKEYE GROVE DENTAL GROUP, LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 5923 HOOVER RD
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City | GROVE CITY
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State | OH
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Zip | 43123-9702
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Country | US
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Telephone | 614-875-2811
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Fax | 614-991-5310
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Provider Business Mailing Address
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Address Line | 5923 HOOVER RD
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City | GROVE CITY
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State | OH
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Zip | 43123-9702
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Country | US
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Telephone | 614-875-2811
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Fax | 614-991-5310
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY THOMAS HAYES JR.
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Credential | DDS
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Telephone | 614-875-2811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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