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General NPI Number Information
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NPI Number | 1649508813
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Entity Type | Individual
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Provider Name | ROMAN GAVRILMAN DMD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 25 ROCHESTER HILL RD
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City | ROCHESTER
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State | NH
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Zip | 03867-3214
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Country | US
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Telephone | 603-335-9339
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Fax | 603-335-3888
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Provider Business Mailing Address
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Address Line | 25 ROCHESTER HILL RD
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City | ROCHESTER
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State | NH
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Zip | 03867-3214
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Country | US
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Telephone | 603-335-9339
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Fax | 603-335-3888
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 03305
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN3821
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License Number State | ME
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