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General NPI Number Information
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NPI Number | 1689892911
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Entity Type | Organization
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Legal Business Name | GRAY AND HORNSTEIN, DDS INC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3690 ORANGE PL STE 180
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City | BEACHWOOD
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State | OH
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Zip | 44122-4438
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Country | US
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Telephone | 216-595-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 3690 ORANGE PL STE 180
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City | BEACHWOOD
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State | OH
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Zip | 44122-4438
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Country | US
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Telephone | 216-595-1710
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Fax |
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Authorized Official
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Title or Position | DENTIST-CEO
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Name | DR. BENJAMIN P HORNSTEIN
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Credential | DDS
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Telephone | 216-595-1710
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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 | OH
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