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General NPI Number Information
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NPI Number | 1538557699
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Entity Type | Organization
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Legal Business Name | DENTAL XPERTS, LLC
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Dates
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Enumeration Date | 12/24/2014
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Last Update Date | 12/24/2014
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Provider Practice Location Address
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Address Line | 410 E LINCOLN HWY HEALING ARTS PAVILION, SUITE 100
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City | NEW LENOX
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State | IL
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Zip | 60451-1975
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Country | US
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Telephone | 708-699-6922
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Fax |
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Provider Business Mailing Address
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Address Line | 15 FIRETHORN CT
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City | LEMONT
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State | IL
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Zip | 60439-7743
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PRIYANKA SHARMA
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Credential |
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Telephone | 708-699-6922
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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 | 019028660
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License Number State | IL
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