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General NPI Number Information
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NPI Number | 1669191342
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Entity Type | Organization
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Legal Business Name | DIVERSIFIED DENTAL, P.C.
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 30231 JEFFERSON AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48082-1787
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Country | US
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Telephone | 586-775-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 30231 JEFFERSON AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48082-1787
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KEVIN D PRUSH
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Credential | DDS
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Telephone | 586-775-2400
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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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