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General NPI Number Information
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NPI Number | 1659729382
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Entity Type | Organization
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Legal Business Name | JON T FLINT, DMD, PLLC
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 06/03/2016
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Provider Practice Location Address
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Address Line | 3512 HIGHWAY 39 N
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City | MERIDIAN
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State | MS
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Zip | 39301-1305
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Country | US
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Telephone | 601-482-8553
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Fax | 601-482-8563
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Provider Business Mailing Address
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Address Line | 3512 HIGHWAY 39 N
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City | MERIDIAN
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State | MS
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Zip | 39301-1305
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Country | US
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Telephone | 601-482-8553
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Fax | 601-482-8563
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Authorized Official
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Title or Position | OWNER
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Name | JON T FLINT
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Credential | DMD
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Telephone | 601-482-8553
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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 |
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License Number State |
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