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General NPI Number Information
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NPI Number | 1568860096
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Entity Type | Organization
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Legal Business Name | DOWNTOWN DENTAL, PLC
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 1101 E JEFFERSON ST SUITE 7
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5353
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Country | US
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Telephone | 434-971-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 E JEFFERSON ST SUITE 7
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5353
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Country | US
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Telephone | 434-971-7400
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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. CHRISTOPHER P. WHYNOTT
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Credential | DDS
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Telephone | 434-971-7400
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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 | 0401410523
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License Number State | VA
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