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General NPI Number Information
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NPI Number | 1528925864
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Entity Type | Organization
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Legal Business Name | OMNI DENTAL OF LEXINGTON LLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1283 N LAKE DR
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City | LEXINGTON
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State | SC
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Zip | 29072-7647
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Country | US
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Telephone | 803-667-8559
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Fax |
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Provider Business Mailing Address
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Address Line | 212 OUTLET POINTE BLVD
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City | COLUMBIA
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State | SC
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Zip | 29210-5667
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Country | US
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Telephone | 803-667-8559
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. BRANDON CAIN
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Credential | DMD
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Telephone | 803-851-1280
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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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