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General NPI Number Information
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NPI Number | 1619876034
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Entity Type | Organization
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Legal Business Name | ADDINGTON DENTAL, PLLC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 910 WINDSOR AVE
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City | BRISTOL
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State | TN
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Zip | 37620-2156
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Country | US
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Telephone | 423-383-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 121 BLUFF CITY HWY
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City | BRISTOL
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State | TN
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Zip | 37620-4212
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Country | US
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Telephone | 423-383-7090
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACINDA ADDINGTON
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Credential | DMD
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Telephone | 423-383-7090
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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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