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General NPI Number Information
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NPI Number | 1548081037
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Entity Type | Organization
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Legal Business Name | DMD DENTAL
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 7312 E DEER VALLEY RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7452
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Country | US
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Telephone | 480-573-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 9082 E CASITAS DEL RIO DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-8344
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Country | US
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Telephone | 504-400-4454
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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. ERIKA DU MOND
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Credential | DMD
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Telephone | 504-400-4454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 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 #4
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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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