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General NPI Number Information
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NPI Number | 1659430957
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Entity Type | Organization
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Legal Business Name | GNEGY DENTAL ASSOCIATES
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 570 LINN ST SUITE 2
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City | ALLEGAN
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State | MI
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Zip | 49010
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Country | US
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Telephone | 269-673-3619
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Fax | 269-673-3682
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Provider Business Mailing Address
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Address Line | 570 LINN ST SUITE 2
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City | ALLEGAN
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State | MI
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Zip | 49010
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Country | US
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Telephone | 269-673-3619
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Fax | 269-673-3682
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. DAVID WAYNE GNEGY
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Credential | DMD
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Telephone | 269-673-3619
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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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