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General NPI Number Information
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NPI Number | 1699507392
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Entity Type | Organization
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Legal Business Name | GENTLE TOUCH DENTAL SOUTH
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 1110 S. GREELEY HWY
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City | CHEYENNE
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State | WY
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Zip | 82007
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Country | US
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Telephone | 307-306-5510
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 S. GREELEY HWY
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City | CHEYENNE
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State | WY
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Zip | 82007
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Country | US
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Telephone | 307-306-5510
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Fax |
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | DR. TATIANA STEELE
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Credential | DDS
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Telephone | 307-306-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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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