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General NPI Number Information
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NPI Number | 1699431478
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Entity Type | Organization
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Legal Business Name | DB DENTISTRY PLLC
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 1475 S 20TH AVE
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City | SAFFORD
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State | AZ
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Zip | 85546-4053
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Country | US
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Telephone | 928-428-1617
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Fax |
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Provider Business Mailing Address
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Address Line | 1941 MESA CIR
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City | SAFFORD
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State | AZ
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Zip | 85546-3578
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Country | US
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Telephone | 928-961-6708
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHAWN BRENT LAYTON
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Credential | DMD
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Telephone | 928-961-6708
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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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