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General NPI Number Information
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NPI Number | 1659175602
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY DENTISTRY SIGNAL
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 809 RIDGEWAY AVE
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City | SIGNAL MOUNTAIN
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State | TN
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Zip | 37377-3003
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Country | US
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Telephone | 423-886-1160
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Fax | 423-886-6608
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Provider Business Mailing Address
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Address Line | 809 RIDGEWAY AVE
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City | SIGNAL MOUNTAIN
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State | TN
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Zip | 37377-3003
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Country | US
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Telephone | 423-886-1160
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Fax | 423-886-6608
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ALEXANDRIA PAGE JONES
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Credential |
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Telephone | 423-886-1160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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