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General NPI Number Information
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NPI Number | 1508930132
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Entity Type | Organization
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Legal Business Name | DOBBIN DENTAL SUITE
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 6460 DOBBIN RD STE B
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City | COLUMBIA
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State | MD
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Zip | 21045-5070
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Country | US
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Telephone | 410-997-9366
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Fax | 410-715-1318
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Provider Business Mailing Address
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Address Line | 6460 DOBBIN RD STE B
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City | COLUMBIA
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State | MD
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Zip | 21045-5070
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Country | US
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Telephone | 410-997-9366
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Fax | 410-715-1318
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KRISTIN A. WINGFIELD
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Credential |
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Telephone | 410-997-9366
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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 | 5629
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License Number State | MD
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