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General NPI Number Information
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NPI Number | 1669927786
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Entity Type | Organization
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Legal Business Name | DENTAL SAFARI CO INDIANA, LLC
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1634 E NORTHFIELD DR., STE 500
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City | BROWNSBURG
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State | IN
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Zip | 46112
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Country | US
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Telephone | 618-993-8333
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Fax | 618-993-8335
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Provider Business Mailing Address
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Address Line | P.O. BOX 2314
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City | CARBONDALE
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State | IL
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Zip | 62902
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Country | US
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Telephone | 618-993-8333
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Fax | 618-993-8335
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MELISSA ANN MORLEY
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Credential | D.M.D.
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Telephone | 618-559-6654
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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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Taxonomy #2
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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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